THCTT Volunteer Application Form
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Full Name (First Name and Last Name) *
Social Security Number (Optional)
Home Address *
City/Town *
Zip Code *
Telephone: Home
Telephone: Cell
Telephone: Office
Occupation *
Employer *
Hobbies/Skills
Education: (Check all that apply) *
Required
Names of children, grade levels, and schools they attend (if applicable)
List areas of volunteer service or interest (Ex. chaperone, instructional assistance, guest speaking) *
Days and time available: (List days of the week and/or times of the day you are available) *
References: (List their name, address, and phone number) *
Emergency Contact Information: (List their name, address, and phone number) *
Have you ever been convicted of a criminal offense or an offense involving the sexual molestation or physical or sexual abuse or rape of a child? *
To the best of my knowledge, all information contained in this application is complete and accurate. I understand that Hanover County Public Schools will not be responsible for the medical coverage of any injury incurred during my volunteer service: *
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