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2018-2019 Student Application
GRADUATION YEAR ( JUNE 01 AND YEAR)
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
STUDENT'S FIRST NAME
CELL OR HOME PHONE
EMAIL ADDRESS (this will be used for notification of placement
I AM AVAILABLE:
Other (Specific Times)
DAYS I AM ABLE TO COMMIT TO VOLUNTEERING:
INTERESTS: (Please check all that apply)
Classroom (small groups)
Math Tutor K-5
Reading with a child
Boys and Girls Club 262-334-3732
Tutoring at KMS or KHS
Day Care Volunteer
Parent/Guardian Signature (Parent/Guardian to provide for permission purposes)
Parent /Guardian Phone (Parent/Guardian to provide for permission purposes.)
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