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For Kids Only Volunteer Application
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Volunteer Information
Are you applying as an individual or with a group?
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Individual
Group
What organization are you with?
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How many people will be volunteering?
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Full Name
*
First Name
Last Name
Preferred Name
*
Pronouns
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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Phone Number
*
Date of Birth
*
-
Month
-
Day
Year
Which languages do you speak fluently?
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How did you hear about FKO?
Through a Friend or Family Member
Social Media (Facebook, Instagram, LinkedIn)
E-mail
Web search
Other
Are you an alumni of FKO?
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Yes
No
Are you currently employed?
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Yes
No
Place of Employment:
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Employment Supervisor:
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Please list any after-school experience, volunteer work, school work or personal work with children:
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Amount of hours willing to volunteer:
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Days of Volunteer Availability
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Monday
Tuesday
Wednesday
Thursday
Friday
Hours of Availability:
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Preferred choice of volunteer site
Please Select
Frank M. Sokolowski Elementary School (Chelsea)
George F. Kelly Elementary School (Chelsea)
FKO Revere
FKO Everett
Thomas Carroll Elementary School (Peabody)
Captain Samuel Brown Elementary School (Peabody)
John E. Burke School (Peabody)
Center School (Peabody)
William A. Welch Sr. Elementary School (Peabody)
FKO Winthrop
William P. Gorman Fort Banks Elementary School (Winthrop)
Please select any of your certifications:
CPR Certified
First Aid Certified
ServSafe Certified
Other
Volunteer Interests
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Administration
Supporting with Enrichment (Arts and Crafts, Athletics, Cooking, etc.)
Providing Continued Learning Support (ie. Tutoring, Educational Classes)
Coaching or Training for staff
Other
Why do you want to volunteer at For Kids Only?
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Emergency Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Relationship to Volunteer
*
Please download, complete, and upload this BRC Consent Form in the following box
Completed BRC Consent Form
*
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I authorize an investigation of all statements contained in this application. I understand that misrepresentation or omission of acts called for is cause for dismissal. I understand and agree that my volunteer position is for no definite period and may, regardless of the date, be terminated at any time without previous notice. I hereby certify that I am not addicted to the habitual use of alcohol, narcotics or barbiturates and that I am not presently under the treatment for the use of alcohol, narcotics or barbiturates.
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I understand that as a volunteer at For Kids Only Afterschool Programs, I am fully responsible for any and all medical care, which I may require as a result of my volunteer service. I also agree to release FKO and its staff from any and all claims, which may arise during or as a result of my participation in program activities, including but not limited to personal injuries, losses, damages, and/or expenses. I take full responsibility for my own actions and behavior as a volunteer.
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