LATL Volunteer Interest Application

Volunteer Interest Application

Share your background, interests, and availability to be considered for a LATL volunteer role.
Personal Information
Full Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
ZIP Code
Occupation
Employer
Job Title
LinkedIn Profile
Emergency Contact Name

First NameMiddle NameLast Name
Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
About You
How did you hear about LATL?
Why are you interested in volunteering with LATL?
What does mentorship mean to you?
Have you volunteered with youth before?
Professional Experience
Education, certifications, licenses, or professional experience that may benefit students
Do you currently coach?
Industry
Occupation
Years of professional experience
Would you be willing to speak to students about your career?
Availability
Generally available days
Preferred time
Volunteering frequency
Youth Safety
Have you ever been convicted of a felony?
If yes, please explain.
Have you ever been convicted of any crime involving children?
Have you ever been prohibited from working with minors?
Are you willing to complete a background check?
Do you have a valid driver's license?
Do you carry auto insurance?
Are you CPR certified?
Which of the following certifications do you currently hold?
Skills & Interests
What strengths would you bring to LATL?
What hobbies or interests would you like to share?
Additional languages spoken

Other
Accommodations or support we should know about
References
Reference #1 Name

First NameLast Name
Reference #1 Relationship
Reference #1 Company
Reference #1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference #1 Email
example@example.com
Reference #2 Name

First NameLast Name
Reference #2 Relationship
Reference #2 Company
Reference #2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2 Email
example@example.com
Social Media (You must provide at least one)
Facebook URL or handle
Instagram URL or handle
LinkedIn URL or handle
X URL or handle
Website URL
Portfolio URL
Acknowledgements
I certify that the information provided is true and complete.
I understand submission of this application does not guarantee a volunteer position.
I understand volunteers working with youth must pass a background check.
I agree to follow all LATL policies and procedures.
I understand that I may be photographed or recorded during volunteer activities.
I agree to maintain confidentiality regarding participant information.
I agree to conduct myself professionally and respectfully.
I understand LATL maintains a zero-tolerance policy for harassment, discrimination, bullying, abuse, drugs, alcohol, weapons, or inappropriate behavior.
I understand I represent Life After The Lights while volunteering.
Final Questions
Anything else you'd like LATL to know
What do you hope to gain from volunteering with LATL?
Typed signature
Date

MonthDayYear
Date
Should be Empty:

Volunteer Interest Application

Personal Information

About You

Professional Experience

Availability

Youth Safety

Skills & Interests

References

Social Media (You must provide at least one)

Acknowledgements

Final Questions