Black Coffee Northwest Grounded Volunteer Interest Form Fall/Winter 2021
Prospective volunteers must complete this form. You will be contacted by
telephone or email to schedule an initial interview.
Please note: Our application process takes at least two weeks. Incomplete applications will take longer to process.

**Please Note**
We'll accept applications for court-ordered community service if you have not been charged with or
have any past crimes involving weapons, violence, molestation, domestic violence, threats to another person. Court-ordered volunteers cannot volunteer in any program with children.

Volunteers must be 16 years of age or older.
Volunteers must complete Washington State Patrol background check.

Program Location:
Black Coffee Northwest- Grounded Youth Center
16743 Aurora Ave N, Shoreline, WA 98133

After School Program Hours:
M-F 3pm-6pm

Fall 2021 Volunteer Opportunities
Teen Leadership & Development Group Leaders
Academic Tutoring
Guest Speaker/Workshop Presenters
Policy (Boards, Committees)
Service Learning Projects
Clerical/Administration

For any questions please contact our youth directors: diana@blackcoffeenw.com, haben@blackcoffeenw.com
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Name *
First and last name
Email *
Phone number *
Which position(s) are you interested in? *
Required
Please email us your resume to diana@blackcoffenw.com and haben@blackcoffeenw.com
If you have any questions please feel free to email diana@blackcoffenw.com or haben@blackcoffeenw.com!
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