LSC/Y-Serve Volunteer Application

LSC Volunteer Application for Y-Serve Students

New Americans Program | Greenville, SC
Thank you for your interest in volunteering to help our New American friends. Your support is crucial to their success!
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Which volunteer position(s) are you interested in? (Please check all positions you are interested in. We will contact you with more information and work with you to determine which is best for you.)

Online Teaching Flexible Opportunity: *Teach English online from anywhere in the world, on your own schedule, with lessons and slides already prepared. No prior teaching experience or second language required *Simple Requirements: If you can use a computer and commit 2–3 hours per week, you’re qualified!
In order to volunteer, you must be 18 years or older. Do you meet this requirement?
Emergency Contact

First NameLast Name
Relationship to you:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Educational Experience
Language Experience and Fluency Level (include mission, living overseas, family, and/or classes)
Hobbies and Leisure Activities
Have you been referred by anyone? If yes, who?

Screening Process
Reference #1

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please note that filling out this application does not guarantee a placement. Volunteer opportunities will be provided based on need and agency capacity. I understand that all volunteers with Lutheran Services Carolinas are subject to the rules and regulations of the agency. Signing this application indicates your approval for us to check references. Your signature also signifies that the information provided above is accurate to the best of your knowledge.
Today's Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please read the following three documents; by signing each, you agree to their terms and conditions.

On a computer, you can right click and save to view the full document.
Policies and Procedures Agreement
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Confidentiality Agreement
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Background Disclaimer
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Notes:
Volunteer Approved?
Should be Empty:

LSC Volunteer Application for Y-Serve Students