College Clinic Volunteer Application
ARE YOU A HIGH SCHOOL STUDENT IN NEED OF COMMUNITY SERVICE HOURS FOR GRADUATION REQUIREMENTS OR SCHOLARSHIPS?

ARE YOU AN ADULT LOOKING TO ENGAGE IN HELPING STUDENTS COMPLETE THE COLLEGE APPLICATION PROCESS?

WORKSHOP SUPPORT - Students and Volunteers participating in the service learning opportunity will help the College Clinic facilitator in the classroom by passing out workshop curriculum, preparing and cleaning up the classroom after the workshops, and assisting where needed.

VIRTUAL SUPPORT - Students and Volunteers can gain community service hours by sharing the College Clinic message on their social media platforms. Volunteer must have a smartphone, keep record of friends/followers reaction to your college-bound posts.

PARENT PERMISSION TO PARTICIPATE - Because some of our volunteers may be under 18 years old, parents must give permission for students to participate in the Student Ambassador Program. Student Ambassadors will attend an online orientation. At the conclusion of the service learning term, Student Ambassadors will receive a Certificate of Completion as a trained professional under the College Clinic programs.

ELIGIBILITY REQUIREMENTS
9th - 12th grade students
Up to 25 hours of community service
High School Transcript
Must have 2.0 GPA
Good attendance & behavioral conduct
Ability to attend an Volunteer Orientation Webinar

Email address *
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Employer
Your answer
School
Your answer
Grade
Your answer
Are you a college graduate? If so, please list your degree and college(s). *
Your answer
What skills do you have to help College Clinic and our students transition into college? *
Your answer
Please list your emergency contact name and phone number: *
Your answer
To receive the most up-to-date College College information, please list your Facebook, Instagram, Twitter, and SnapChat @names.
Your answer
Which position(s) are you interested in? *
Required
What days are you available to volunteer? *
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What times are you available to volunteer? *
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MEDIA RELEASE - I shall confirm the authorization to College Clinic (Rae of Light Foundation) its sponsors, advertisers, promoters and media partners to use visual images of me in connection with any programs or projects of College Clinic (Rae of Light Foundation) including but not limited to photographs, video and/or film productions and print media of me in furtherance of the programs and purposes of College Clinic (Rae of Light Foundation). In granting this permission and release, I understand that the images may appear in a variety of forums, including but not limited to magazines, newspapers, books, brochures, newsletters, television, videotape, advertisements and the internet. I release College Clinic (Rae of Light Foundation) from any and all claims arising out of or in connection with the use of my images, and hereby release waive and discharges any and all claims in this connection including but not limited to any and all claims invasions of privacy, defamation infringement, or other tort. I further warrant and agree that this authorization and release is not in breach of or contrary to any existing rights of another person or entity, and is valid and legally enforceable by College Clinic (Rae of Light Foundation). I further warrant and agree that I have the right to execute this release. *
By clicking yes below, I agree to volunteer for College Clinic and the information provided is accurate to my best knowledge. I release Rae of Light Foundation and its partners of all liability, injury, or harm. I am authorized to submit this volunteer application. *
Are you 17 years old or younger? *
For volunteers 17 years and younger --> By clicking yes below, I agree for my child to volunteer for College Clinic and the information provided is accurate to my best knowledge. I release Rae of Light Foundation and its partners of all liability, injury, or harm. I am authorized to submit this volunteer application.
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