Teen Volunteer

Personal Information

Teen Volunteer Application
Name

First NameLast Name
Preferred name
Street Address
City
State
Zip Code
Phone Number
Email
Colleen Holcomb, Volunteer Services Manager, will reach out to you to set up a meeting. How do you prefer to be contacted?
Work Permit ID #
Date of Birth
Date of Birth

MonthDayYear
Date
Do you have a prior connection to St. Ann's?
If yes, how have you been connected?
Personal Reference
Name

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
(XXX) XXX-XXXX
Email
example@example.com
Parent or Guardian
Parent or Guardian: Full Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
Emergency Contact Information
Emergency Contact Full Name

First NameLast Name
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
Location to volunteer at

Select all that apply
Location
Availability & Hours

NOTE: *All volunteers must complete a minimum of 20 volunteer hours over a flexible time period*
I confirm I can volunteer for a minimum of 20 hours
What days of the week are you able to volunteer? (Select all that apply)
NOTE: Volunteers under the age of 18 may require parent or guardian supervision during weekend volunteering.
What time of day are you able to volunteer?
Are these required service hours?
If yes, how many hours are needed?
When do you need complete these hours by?
What are the hours for?
Education
High school
School Organizations, Clubs, Groups or Part-time jobs
Skills, hobbies, and special interests
Previous work as a volunteer
Signatures

By entering name and date below, you are verifying that all information entered above is true and accurate
Volunteer Signature
Today's Date

MonthDayYear
Date
Parents/Guardians

By entering name and date below, you are verifying that all information entered above is true and accurate
Parent/Guardiant Signature
Date

MonthDayYear
Date
Please verify that you are human
Should be Empty:

Personal Information

Personal Reference

Parent or Guardian

Emergency Contact Information

Location to volunteer at

Availability & Hours

Education

Signatures

Parents/Guardians