Request edit access
2018-2019 Student Application
STUDENT APPLICATION
GRADUATION YEAR ( JUNE 01 AND YEAR) *
MM
/
DD
/
YYYY
As a Volunteer, you can help fellow students follow their Dreams. Please share your time, skills, or interest with other students. The gift will help other students develop positive attitudes toward learning and motivate them to achieve their potential. On the form below, please indicate how you are willing to help. We have provided a list to give you some ideas. We welcome your suggestions. Once the application is received, the volunteer coordinator will contact you for future involvement.
STUDENT'S LAST NAME *
Your answer
STUDENT'S FIRST NAME *
Your answer
PARENT/GUARDIAN NAME *
Your answer
CELL OR HOME PHONE *
Your answer
EMAIL ADDRESS (this will be used for notification of placement *
Your answer
I AM AVAILABLE: *
Required
DAYS I AM ABLE TO COMMIT TO VOLUNTEERING: *
INTERESTS: (Please check all that apply) *
Required
Parent/Guardian Signature (Parent/Guardian to provide for permission purposes) *
Your answer
Parent /Guardian Phone (Parent/Guardian to provide for permission purposes.) *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Kewaskum School District. Report Abuse - Terms of Service