TYPE 1 UNBOUND YOUTH VOLUNTEER APPLICATION
Thank you for your interest in volunteering. For the safety of our youth, all volunteers must complete the following application.
NAME
First Name
Middle Name
Last Name
EMAIL:
example@example.com
PHONE NUMBER
Please enter a valid phone number.
ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
WHY ARE YOU INTERESTED IN WORKING WITH YOUTH WITH TYPE 1 DIABETES?
WHAT IS YOUR AVAILABILITY, HOW OFTERN AND FOR HOW LONG?
ARE THERE ANY REASONS THAT YOU SHOULD NOT BE WORKING DIRECTLY WITH CHILDREN?
WHAT ROLES ARE YOU INTERESTED IN
Event Host / Hospitality
Social Media
Event Photography
Activity Facilitator
Other
ARE YOU WILLING TO HAVE A REFERENCE CHECK
YES
NO
ARE YOU COMMITTED TO A REGULAR AND ROUTINE VOLUNTEER INTERNSHIP
YES
NO
HAVE YOU FULLY READ AND AGREED TO THE CHILD PROTECTION POLICY
YES
NO
LINK TO THE CHILD PROTECTION POLICIES MANUAL
Your Signature
Parent / Guardian Signature
Continue
Continue
Should be Empty: