VOLUNTEER APPLICATION
Thank you for your interest in becoming a Detroit Regional Dollars for Scholars Volunteer! Please complete the following form and we'll be in touch shortly.
PERSONAL INFORMATION
Name (first, MI, last) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email address *
Your answer
Home Phone *
(with area code)
Your answer
Work Phone
(with area code)
Your answer
Mobile Phone
(with area code)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Employer
Your answer
Occupation
Your answer
School
Your answer
Are you volunteering to fulfill court ordered community service hours?
BACKGROUND CHECK
To ensure the safety of our students, a background check is required for all volunteers. The State of Michigan Criminal History Access form requires the following in order to complete the background check:
Date of Birth *
(mm/dd/yyyy)
Your answer
Race *
Gender *
Aliases *
(including maiden names)
Your answer
SKILLS AND EXPERTISE
Please select all skills and expertise that apply.
Are there any special skills or training that you would like to share with Dollars for Scholars?
Please include any past volunteer experiences here.
Your answer
TRAITS
Please select all traits that apply.
WAIVER
I hereby release and hold harmless Detroit Regional Dollars for Scholars for the use of my name, written or spoken words, photograph, picture, portrait and the like, to use for the promotion of our program.
Initial *
Your answer
How did you hear about Dollars for Scholars?
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