CONTACT INFORMATION + APPLICATION QUESTIONNAIRE
FIRST AND LAST NAME:
MOST ACTIVE AND CURRENT EMAIL ADDRESS:
CURRENT MAILING ADDRESS:
Please check one:
Age (18 +)
If you are over the age of 18, have you completed a vulnerable screening background check within the last 6 months?
Under 18 years old - Does not apply
Please disclose any information pertaining to your current or future mental or physical state that could potentially put children at risk under your care:
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:
What got you interested in becoming a MoveAbility coach? ( volunteer hours, enhance reference/resume, family connection)
Volunteer Hours for graduation
Job development opportunities
Enhance resume and references
Interest in special recreation
Interested in movement therapy
Interested in coaching expereince
If answered OTHER to the above question, please give a brief explanation below:
Do you have any experience working with children?
Do you have any experience working with any persons with disabilities?
Do you have any background in dance, yoga, fitness or sports recreation?
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.)
Please indicate which classes you are most interested in:
Sports and Fitness
Dance and Fitness
Do you have access to a transportation?
Yes - able to travel 10km from where I live
Yes - abl to travel 20km from where I live
Yes - able to travel 30km from where I live
Yes - able to travel 40+km from where I live
No transportation available
Please write below any other information you wish us to know before we contact you!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service