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Tree Street Volunteer Application Form
Email address *
First Name *
Your answer
Last Name *
Your answer
Parent or Guardian's name (if under 18) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Your answer
Pronouns
She/her, he/his, they/them, ect.
Your answer
Phone number *
Your answer
Best way and time to contact you *
Your answer
How often are you interested in volunteering *
What are you interested in doing as a volunteer *
Skills or interests you might like to offer:
Your answer
Prior volunteer or work experience (if applicable), especially any experience with children or youth:
Your answer
Do you have physical or mental health conditions that should be taken into consideration before determining a volunteer assignment?
If so, please explain
Your answer
Generally, what days of the week and times do you want to volunteer?
Select half hour blocks of time you can work
2 PM
2:30 PM
3 PM
3:30 PM
4 PM
4:30 PM
5 PM
Monday
Tuesday
Wednesday
Thursday
Friday
If there are specific times you know you are available or unavailable, please enter below:
Your answer
Name of FIRST reference and phone number *
School, volunteering, employment supervisors, or clergy are acceptable references. Do not list friends, relatives, or neighbors.
Your answer
Name of SECOND reference and phone number *
School, volunteering, employment supervisors, or clergy are acceptable references. Do not list friends, relatives, or neighbors.
Your answer
Name of emergency contact, phone number, and relationship to you *
Please list the name and phone number for a relative or friend to contact in an emergency. Please note their relationship to you (spouse, child, sibling, friend, mother, sister, etc.).
Your answer
By entering your name below you grant Tree Street Youth Center permission to use your image if photographed or videotaped during volunteer service for public relations purposes.
Your answer
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