Volunteer Mentoring Application
Process for becoming a volunteer:❖ Apply to become a volunteer / Background Check (online) Monitored by School System❖ Orientation & Training❖ Volunteer Spotlight (if consent given)❖ Frequently Asked Questions
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Place of Employment
Occupation
Hobbies and Interests
Languages Spoken (other than English)
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Schools Where I Want to Volunteer (select all that apply)
Thomasville Primary (PreK - 3rd)
Liberty Drive Elementary (4th -5th)
Thomasville Middle School (6th - 8th)
Thomasville High School (9th - 12th)
Volunteer activity I would like to do
Describe your qualifications for volunteer activity listed above.
Mark day and time of day you are available.
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
Other information you would like us to know about you
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Persons to contact in case of emergency
Name
First Name
Last Name
Relationship
Cell Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Name
First Name
Last Name
Relationship
Cell Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
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Education
Name of Institution
Location
Dates Attended
Diploma/Degree
Name of Institution
Location
Dates Attended
Diploma/Degree
Name of Institution
Location
Dates Attended
Diploma/Degree
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Experience
List any experienceworking with young people– include dates
List professional organizations or church involvement
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References
Reference 1 Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Reference Name 2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Reference 3 Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
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Have you every been convicted of a felony?
No
Yes
Have you ever been convicted or pleaded No Contest to misdemeanor excludingminor traffic violations?
No
Yes
Background Check
Type a question
I agree to have a background check conducted by Thomasville City Schools. Thomasville City Schools will provide background checks for volunteers. Each applicant will receive an email fromClient Services (Thomasville City Schools) with a secure link to a form to be filled out. If there are any questions,please contact Heather Kapp at (336) 474-4245.
Signature
Submit
Submit
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