Million Reasons_ Volunteer Application
Email address *
Name *
Street Address *
Town *
State, Zip code *
Parent's Cell # *
Volunteer's Cell # *
Area of Interest (Please Select all that Apply) *
Required
Highest Level of Education *
Required
High School/College Attending *
Grade Level *
Required
Current Job Status *
Required
Gender *
Languages: (Please Select all that Apply) *
Required
Availability for Academic Year, 2020-2021 (Please Select all that Apply)
3:30-5:30pm
3:30-4:30pm
4:30-5:30pm
Monday
Tuesday
Wednesday
Thursday
Friday
Availability for Academic Year, 2019-2020 (Please Select all that Apply)
10:00am-12:00pm
Saturday
Clear selection
How many days would you like to volunteer? Check only one choice.
Column 1
Once a week
Twice a week
Describe your knowledge and Experience in the area of interest you chose above. *
Describe your prior volunteer experiences, if any. *
Provide Contact information (Name, Job Title, Institution/Organization, Email) of THREE Academic/professional references (Don't include family or friends. If you are a student, at least two references should be from the teacher or guidance councilor.) *
How did you hear about Us? *
Tell us about any other information about you that will help us to know you better.
I certify that the information that I provided above are correct and I give Million Reasons permission to contact my references. *
Name of the Volunteer/Parent if the Volunteer is Below 18 Years of Age *
Signature
Date
MM
/
DD
/
YYYY
Submit
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