Volunteer Interest Form

Volunteer Interest Form
Name*

First NameLast Name
Grade/College Year*
Grade
Date of Birth*

MonthDayYear
Date
Email (non school email address)*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
School/College you are enrolled in (If Professional,where you work)*
Highest level of education you have completed?*

Currently enrolled in Middle SchoolHigh School/GEDAssociate'sBachelor'sMaster'sPhDOther
Choose your preferred program for to volunteer.*

Civic Hub Intern - Assist the Civic Hub team with programs and activities related to civic education and engagement.After School Program: Mon to Fri 3pm - 6pm.(When schools in session)Robotics: Saturdays - 2:30pm to 4:30pmFriday Youth ProgramSAT AssistantMath AssistantEnglish AssistantSummer CampSpecial Events
What days in a week you are available?*

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
What time you can volunteer during weekdays and weekend?*
Are you interested in earning Presidential Service Volunteering Award?*

YesNo
Do you have a volunteering experience?*

YesNo
Years/Months of experience? *
Which group have you worked with before?*

Elementary SchoolMiddle SchoolHigh SchoolSeniorsOther
Please mention the Name(s) of organization(s) & Hours volunteered. (Put N/A) if not have voluteered in more than one organization) *
What do you enjoy doing in your free time? Why do you want to volunteer? *
PARENTS INFORMATION
Mother Name*

First NameLast Name
Mother Email*
example@example.com
Mother Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father Name*

First NameLast Name
Father Email*
example@example.com
Father Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us? *
Should be Empty:

Volunteer Interest Form

PARENTS INFORMATION