Right Steps Volunteer Form
This form is used if you are interested in our volunteer opportunities.
Email address *
Our mission is to provide and advocate for quality child care and early education.
Date *
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First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Telephone Number
Your answer
Volunteer Position
Your answer
What days and times are you available to volunteer?
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
A copy of your responses will be emailed to the address you provided.
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