Right Steps Volunteer Form
This form is used if you are interested in year-round volunteer opportunities.
Our mission is to provide and advocate for quality child care and early education.
Date
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YYYY
First Name
Your answer
Middle Initial
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Telephone Number
Your answer
Email Address
Your answer
Volunteer Position
Your answer
What days and times are you available to volunteer?
Your answer
Location preference (check all that apply)
Required
Are you a student?
If required, how many volunteer hours do you need for your school ?
Your answer
Do you speak another language other than English?
If yes, what language? What would you rate your fluency on a scale from 1-10, 10 being very fluent?
Your answer
Have you submitted a volunteer application with us in the past? (If yes, please include a date and last name if different.)
Your answer
Have you ever been convicted of a crime other than a minor traffic violation?
If yes, please explain.
Your answer
List any affiliations you have (service organizations, clubs, etc.)
Your answer
Reference 1: Please list the contact information of someone not related to you that can comment on your volunteer potential.
Your answer
Reference 2: Please list the contact information of someone not related to you that can comment on your volunteer potential.
Your answer
PERMISSION TO CONTACT: I hereby give Right Steps permission to contact the references listed above. (please print your name in place of a signature and date)
Your answer
EMERGENCY CONTACTS: In case of an emergency please list one or two people we can call.
Your answer
In the event of volunteering, I understand that false or misleading information given on my application or interview(s)may result in discharge. I understand, also that I am required to abide by all rules and regulations of the Agency. As such I hereby understand that while volunteering for Right Steps. I may have access to confidential information. I agree not to discuss or disclose such information during or after volunteering. I understand that violation of this agreement can result in legal action. (PLEASE PRINT IN PLACE OF A SIGNATURE AND DATE FOR CONSENT)
Your answer
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