Reality Check Volunteer Questionnaire
This form will gather basic information and you will be contacted to complete formal volunteer applications, background checks and training .
Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you worked with teens/children before?
*
Yes
No
Have you ever been conviced of a felony, violent crime, drug abuse, child abuse or any form of sexual misconduct?
*
Yes
No
Would you be willing to volunteer at the Reality Check Inc. Teen Center location? This wil involve some degree of physical activity and work on your part as well as managing teens and interacting with parents?
*
Yes
No
Are you comfortable in handling number of kids?
*
Less than 10
Less than 20 kids
Less than 35 kids
Less than 50 kids
Other
Please select the best time to volunteer (availability)
*
Rows
3:00PM-7:00PM
10:30-3:00PM
Monday
Wednesday
Thursday
Saturday
Tell us something about yourself
*
What are your reason for volunteering with Reality Check, Inc. ?
*
What do you expect to get from volunteering?
*
What are the skills have you enhance in the last 2 years that can be used as a volunteer with Reality Check, Inc. ?
*
Is this the first time volunteering Reality Check?
*
Yes
No
Volunteer
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