The Launch Pad Teen Center Volunteer Application

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First Name *

Your answer

Last Name *

Your answer

Phone Number *

Your answer

Email *

Your answer

Address *

Your answer

What is the best way to contact you? *

Your answer

What is the best time to reach you? *

Your answer

Do you have children attending The Launch Pad? *

Yes

If yes, please provide their names *

Your answer

How did you hear about The Launch Pad *

Your answer

Are you currently a college student? *

Yes

If yes, what school do you attend?

Your answer

What specific skills or interests do you bring to The Launch Pad? *

Your answer

Please provide your availability *

Check all that apply

1 pm - 2 pm

2pm - 3pm

3pm - 4pm

4pm - 5pm

5pm - 6pm

Monday

Tuesday

Wednesday

Thursday

Friday

Please check if you hold any of the following certifications

CPR

First Aid

AED

Wilderness First Responder

Wilderness First Aid

Have you ever been convicted of anything other than a minor traffic violation? *

Yes

If you answered yes to having been convicted of anything other than a minor traffic violation, please explain below:

Your answer

Do you have access to a vehicle in which you would feel comfortable transporting either TLP teens or fellow volunteers to special Launch Pad activities or events? *

Yes

Please provide your emergency contact information *

Your answer

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