Volunteer Application - Kountry Kidz Community Youth Connections
Kountry Kidz Community Youth Connections (KKCYC) encourages the participation of volunteers who support our
mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

Thank you for your interest in our organization. We look forward to connecting the youth to the community and the community to the youth with your help.

Email address *
Legal First and Last Name : *
Your answer
Address : *
Your answer
City : *
Your answer
State : *
Your answer
Zip Code : *
Your answer
Phone : *
Your answer
Date of Birth : *
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Gender : *
Are you currently enrolled in school? *
Please list highest level of education. *
Will you be volunteering with family and/or friends? *
KKCYC encourages and provides volunteers the opportunity to work with family members and friends to enhance their experiences. We also highly encourage volunteers to develop new relationships by partnering with others that devote their time to meeting the needs of the organization. All ages are eligible to participate.
If you are a minor, do you have consent from a parent, guardian, or legally responsible party to volunteer with KKCYC? *
All persons under the age of 18 must have prior permission from a parent, guardian or legally responsible party before volunteering. All legally emancipated minors must have a Decree of Emancipation on file with KKCYC.
If you are applying for a minor(s), do you consent to your minor child / children volunteering with KKCYC? *
All persons under the age of 18 must have prior permission from a parent, guardian or legally responsible party before volunteering. All legally emancipated minors must have a Decree of Emancipation on file with KKCYC.
Are you willing and able to submit to a background check and verify identification prior to volunteering? *
Pursuant to RCW 43.43.834, all volunteers who will be or may have unsupervised access to children less than sixteen years of age, developmentally disabled persons, or vulnerable adults will be required to complete and pass the check.
Are you currently employed? If so, how are you classified? *
For us to be good stewards of the time that you volunteer with us, please confirm if you are currently employed. This answer will also help us in considering and/or offering future jobs to volunteers that may meet our future hiring needs and other qualifications.
Required
Are you a current or former volunteer for any nonprofit organization? *
Please list any experiences you have had as a volunteer within the last 10 years. *
Your answer
Please list any special talents or skills you have that you feel would benefit our organization? *
Your answer
Interests: Please tell us in which areas you are interested in volunteering. *
Required
Please indicate days available: *
Required
Please indicate times available: *
Morning
Afternoon
Evening
Night
12 am - 6 am
6 am - 10 am
10 am - 4 pm
4 pm - 11 pm
Any Time
Do you require any accommodations for physical or mental limitations? *
Whom should we contact in case of an emergency? *
Your answer
*
As a volunteer of KKCYC I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for KKCYC. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. This also applies to any minor(s) that I have provided consent to volunteer with and or for KKCYC.
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