Volunteer Application
CONTACT INFORMATION + APPLICATION QUESTIONNAIRE
Email address *
FIRST AND LAST NAME:
Your answer
MOST ACTIVE AND CURRENT EMAIL ADDRESS:
Your answer
CURRENT MAILING ADDRESS:
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TELEPHONE NUMBER:
Your answer
EMERGNACY CONTACT:
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Please check one:
If you are over the age of 18, have you completed a vulnerable screening background check within the last 6 months?
Please disclose any information pertaining to your current or future mental or physical state that could potentially put children at risk under your care:
Your answer
Have you ever been convicted of a criminal offense and found guilty?
List any skills or previous volunteer experience that you think may be relevant:
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What got you interested in becoming a MoveAbility coach? ( volunteer hours, enhance reference/resume, family connection)
If answered OTHER to the above question, please give a brief explanation below:
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Do you have any experience working with children?
Your answer
Do you have any experience working with any persons with disabilities?
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Do you have any background in dance, yoga, fitness or sports recreation?
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Please indicate nights of the week you would possibly be available (all classes are in the evening and weekend classes run in the afternoons):
Please indicate if there are any specific details about your availability that you need to also include (i.e. semester changes, holidays etc.)
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Please indicate which classes you are most interested in:
Do you have access to a transportation?
Please write below any other information you wish us to know before we contact you!
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