Volunteer Request Form
Name
*
First Name
Last Name
Site/ Program
*
Bonita Street Elementary School
Towne Avenue Elementary School
Main Street Clubhouse
Edwin Markham Middle School
John Muir Middle School
Rancho Dominguez Preparatory
Carson High School
King/Drew Magnet High School of Medicine and Science
E-mail
*
Desired Program Area:
*
Character & Citizenship ( i.e. leadership development, public speaking, mentoring)
Healthy Lifestyles (i.e. sports and recreation, cooking classes, and healthy attitude workshops)
Academic Success (i.e. tutoring, college applications, resume workshops, job coaching)
Other
Please list any specific assignments you would like the volunteer to complete (i.e. dance instructor, data entry, tutor, physical education)
*
Desired Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Other
Desired Hours
*
Early Afternoon 1-3PM
Afternoon 3-5PM
Evening 5-7PM
Other
Desired Frequency
*
Weekly
Monthly
Quarterly
One-Time
Does the requested volunteer need to be bilingual?
*
Yes
No
If yes, what language?
Additional Notes
Submit
Should be Empty: