Allen Neighborhood Center: Volunteer Form
Thank you for your interest in volunteering with the Allen Neighborhood Center! Complete the following form to be considered for volunteerism. After its submission and review, the Volunteer Coordinator, Pa Vang, will contact you to schedule a volunteer orientation.
Today's Date
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First Name *
Your answer
Last Name *
Your answer
Gender *
Your answer
Birthdate *
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Email Address *
Your answer
Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Secondary Phone Number
Your answer
Emergency Contact and Phone Number *
Your answer
Please list any hobbies, talents, skills, etc.
Your answer
Class/Program Requirements
Are you volunteering to fulfill a class/school requirement? *
If yes, how many hours?
Your answer
Are you volunteering to fulfill an ANC programmatic requirement?
If yes, which program?
Your answer
Program Interests
Below is a list of possible volunteer opportunities with the Allen Neighborhood Center. To learn more about these programs, please see our website at allenneighborhoodcenter.org.
Please check any and all that you think may interest you:
How did you hear about us? *
Required
Would you like to subscribe to our volunteer email list?
How would you like to be contacted?
Background Check Consent Form
On April 28th, 2008 the ANC Board of Directors approved the following procedures for screening all those who are applying to volunteer with Allen Neighborhood Center.

1. All Volunteer and staff (with the exception of Michigan State University students, who are screened by MSU Service Learning Center) will be screened through the Michigan State Police I-Chat System.

2. Confidential files are kept on all applicants and results.

3. When the I-Chat System reveals a criminal background, the Volunteer Program Coordinator, in consultation with the Executive Director, will make a determination whether this person's offer of volunteer service will be accepted.

I understand and accept the terms listed above for participation as a volunteer at the Allen Neighborhood Center. By submitting my electronic signature, I verify this represents my actual signature and hereby gives my consent to Allen Neighborhood Center to conduct a criminal background check using the information I have provided.

Full Legal Name *
Your answer
Race/Ethnicity (This is helpful for background checks)
Your answer
Electronic Signature *
Your answer
Date of Birth *
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