C.R.O.W.N.E.D. Volunteer Application
Volunteer application for C.R.O.W.N.E.D. Kings & Queens Youth Mentorship, a program of Crowned Foundation, Inc.
Applicant Information
Applicant Type
*
Adult Volunteer or Mentor
Student Community-Service Volunteer
Event or Fundraising Volunteer
Administrative or Outreach Volunteer
Full Name
*
First Name
Middle Name
Last Name
Contact Information
*
Age Confirmation
*
I confirm I am 18 years of age or older
I am under 18 and applying as a student volunteer
General Volunteer Details
Volunteer Interests
*
Teen Programs
Events
Fundraising
Administration
Outreach
Mentoring
Other
Relevant Volunteer or Work Experience
Skills, Certifications, or Special Training
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 1 Name
First Name
Middle Name
Last Name
Reference 1 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Name
First Name
Middle Name
Last Name
Reference 2 Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Adult Mentor Details
Do you have prior youth experience?
Yes
No
Expected time commitment
Please Select
A few hours per month
1–3 hours per week
4–6 hours per week
7–10 hours per week
More than 10 hours per week
Flexible / as needed
I agree to maintain confidentiality of participant and family information
*
Yes
I agree to follow the volunteer code of conduct and youth-safety policies
*
Yes
Background screening acknowledgment (where applicable)
I understand a background screening may be required for this role
Student Volunteer Details
School Name
*
Grade
*
Please Select
6th
7th
8th
9th
10th
11th
12th
College
Other
Required Service Hours
Completion Deadline
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
School Coordinator Name
First Name
Middle Name
Last Name
School Coordinator Phone
Please enter a valid phone number.
Format: (000) 000-0000.
School Coordinator Email
example@example.com
Parent or Guardian Name
*
First Name
Middle Name
Last Name
Parent or Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email
*
example@example.com
Parent or Guardian Consent
*
Certification and Signature
Electronic Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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