Under 18 Volunteer Application Form

Your Name*

First NameLast Name

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Emergency Contacts*

What grade are you in?*

What school do you attend?*

Birthdate*

Date

T-shirt Size*

Which location are you interested in volunteering at?*

HUB Kids K - 3 at UnionHUB Kids 4 - 9 at The HUB

What days and times are you available? HUB Kids is open on school days from 2:45 - 5:30 pm. Summer hours vary.*

	From	To
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Why do you want to be a volunteer at The HUB?*

Please tell us your other volunteering experiences.*

What are your interests?*

What are your skills?*

ie. Graphic Design, Social Media

Please list two (2) references. List their first and last name, phone number, and their relationship to you. No family members.

I acknowledge that The HUB/Wyandot Community Connections is a faith-based organization, founded on the teachings of Jesus. Our After School program is open to all eligible youth, regardless of religious affiliation or belief.*

Yes, I acknowledge

Download the Confidentiality Policy HERE.

Download the Confidentiality Policy at the link above. I have read, understand, and agree to abide by the The HUB/Wyandot Community Connections Confidentiality Policy.*

Yes

Photographic & Volunteer ReleaseI (parent/legal guardian) give permission and consent to The HUB/Wyandot Community Connections and third parties collaborating with The HUB/WCC to make, reproduce, edit, broadcast, or rebroadcast any photo, video, soundtrack recording of my child (named above) while participating in The HUB/WCC activities and/or programs, and including any written or spoken narrative account of experiences at The HUB for publication, display, or exhibition in promotions, advertising, and legitimate business uses by and for The HUB/WCC. I further understand there will be no compensation to, and/or claim, by me or my child for such items.*

The information I have provided is current and correct to the best of my knowledge. I will let The HUB/WCC know of any change in the information I have provided.

Volunteer Candidate Signature*

Parent of Candidate Signature*