LSC/Y-Serve Volunteer Application

LSC Volunteer Application for Y-Serve Students

New Americans Program | Greenville, SC
Thank you for your interest in volunteering to help our New American friends. Your support is crucial to their success!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com

Which volunteer position(s) are you interested in? (Please check all positions you are interested in. We will contact you with more information and work with you to determine which is best for you.)

Academic tutor for school-age children * high intermediate or advance language ability required * 1-2 hours per weekEnglish Tutor for school-age children * beginning language ability required * 1-2 hours per weekCultural Orientation * high intermediate or advanced language ability required * hours varyEnglish Mentor/Teacher for adults * no certification or language fluency required; training and curriculum provided * 2 hours per weekInterpreter * near fluency language ability required * hours vary
In order to volunteer, you must be 18 years or older. Do you meet this requirement?

YesNo
Emergency Contact

First NameLast Name
Relationship to you:
Phone Number
Please enter a valid phone number.
Educational Experience
Language Experience and Fluency Level (include mission, living overseas, family, and/or classes)
Hobbies and Leisure Activities
Have you been referred by anyone? If yes, who?

Screening Process
Reference #1

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Reference #2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please note that filling out this application does not guarantee a placement. Volunteer opportunities will be provided based on need and agency capacity. I understand that all volunteers with Lutheran Services Carolinas are subject to the rules and regulations of the agency. Signing this application indicates your approval for us to check references. Your signature also signifies that the information provided above is accurate to the best of your knowledge.*

Clear
Today's Date:

MonthDayYear
Date
Please read the following three documents; by signing each, you agree to their terms and conditions.

On a computer, you can right click and save to view the full document.
Policies and Procedures Agreement
Signature*

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Date

MonthDayYear
Date
Confidentiality Agreement
Signature*

Clear
Date

MonthDayYear
Date
Background Disclaimer
Signature*

Clear
Date

MonthDayYear
Date
Notes:
Volunteer Approved?

YesNo
Should be Empty:

LSC Volunteer Application for Y-Serve Students