Comprehensive Youth Services Volunteer Application

Comprehensive Youth Services Volunteer Application
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Are you a citizen of the United States?

YesNo
If no, are you authorized to work in the U.S.?

YesNo
Education
High School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates
Did you graduate?

YesNo
Diploma
College
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates
Did you graduate?

YesNo
Degree
Other
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates
Did you graduate?

YesNo
Degree
Previous Employment
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Job Title
Dates
Responsibilities
May we contact your previous supervisor for a reference?

YesNo
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor
Job Title
Dates
Responsibilities
May we contact your previous supervisor for a reference?

YesNo
Areas of Interest

Assisting in clinical programs (BBFF, CHAT, FFT, SAP)Assisting in community-based programs (Neighborhood Resource Centers, Supervised Visitation)Special Projects (e.g., managing donations, Toys For Tots drive, clean up projects, etc.)Outreach Assistance (e.g., table community events, resource fairs, etc.)Resource Assistance (e.g., helping families connect to resources, application assistance, etc.)Volunteer Skills Training (e.g., photograph, graphic design, training or teaching classes as subject matter expert, public speaking events, etc.)Office Support (e.g., filing, assisting with inventories, organizing program supplies, etc.)Other
Availability - Days of the week preferred

MondayTuesdayWednesdayThursdayFriday
Times of day preferred

AMPM
How long do you plan on volunteering with us?
References

Please list three professional references.
Name

First NameLast Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Name

First NameLast Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Name

First NameLast Name
Relationship
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Disclaimer and signature
I understand that:
1. That a volunteer working directly with clients requires a 40 hours of Training. I shall not undertake such activities without the required training.

2. That my volunteer services will not lead to a paid position.

3. That while the CYS will attempt to make assignments compatible with individual interests and talents, CYS is not able to accept all applicants.

4. Only fully completed applications will be considered.
All of the information provided is true and accurate to the best of my knowledge.
Any information given in the above application (and hereafter) will be held in strict confidentiality by Comprehensive Youth Services. Any information that is found to be false or misleader would be grounds for disallowance of your participation.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Comprehensive Youth Services Volunteer Application

Education

Previous Employment

References