Volunteer Application

Volunteer Application

Thank you for your interest in volunteering with us! Please fill out the form below to help us understand how you'd like to contribute. Fields marked with * are required.
Type of Volunteer*

Individual Volunteer – (You are volunteering on your own, not for school credit or a class requirement.)Student Volunteer – (You are volunteering to fulfill a school, practicum, or internship requirement.)AmeriCorps MemberCEE InternGroup Volunteer
For Group Volunteering, please apply on our Group Volunteer Application.
Full Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Preferred Language
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Contact Preferences (Check all that apply.)*

EmailTextPhone Call
Street Address
Zip Code*
City*
State
Are you 18 or older?*

YesNo
Note: Some of our volunteer opportunities are age restricted. The Volunteer Coordinator will reach out to you to discuss these opportunities!
To help us better understand the volunteers we serve, please check the box if you consider yourself to be part of a low-income household

Yes
Education Areas

These are general categories and might not determine your exact placement. For instance, if you are enrolled in an accredited nursing program, choose "Health" if your studies are centered around health.
Education Areas

Early ChildhoodHealthPublic PolicyOther
Is there a specific position for which you would like to volunteer?

Some positions are seasonal and may not be available year-round.
Opportunities

Head Start Classroom HelperOutreach VolunteerEvent Assistant VolunteerWellness Event VolunteerPhotography VolunteerI'm interested in an internship with Community Action (not listed)
How did you hear about volunteering with us?
Availability
What days are you available to volunteer?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
How often would you like to volunteer?*

1–3 hours per week4–6 hours per week7–10 hours per week10+ hours per weekFlexible / As neededOne-time or short-term commitmentOther
Student Info
School or University Name*
Class/Program Name*
e.g. Child Development Careers Program - CDEV 1910 Practicum 1
Hours Required by School*
Start Date*

MonthDayYear
Date - give estimate if unknown
End Date (deadline)*

MonthDayYear
Date - give estimate if unknown
Do you have a document that outlines the requirements for your experience? If so, upload it here.

Cancelof
If you marked Early Childhood as an education area, is there a specific age group you prefer to volunteer with?

Infants (6 weeks - 16 months)Toddlers (16 - 36 months)Preschool (3-5 years)
If you marked Early Childhood as an education area, do you have a preferred Head Start Center? (You may select multiple.)
Note that we may not be able to place you at your preferred site. Please visit our website for Center addresses.
Additional Info
Why do you want to volunteer with us?
Please list any skills or qualifications (gained from previous jobs, volunteering, hobbies, etc.)
What language(s) do you speak?
Do you have a reliable form of transportation to accomplish your volunteer tasks (e.g. car, bus)?*

YesNo
Emergency Contact Information

In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name*

First NameLast Name
Relationship*
e.g. friend, uncle, mother
Emergency Contact Phone Number*
Please enter a valid phone number.
Any questions?
Should be Empty:

Volunteer Application

Education Areas

Is there a specific position for which you would like to volunteer?

Availability

Student Info

Additional Info

Emergency Contact Information