Just Us 4 Youth Volunteer Application
Sign in to Google to save your progress. Learn more
First Name:
Last Name:
Email Address:
Phone Number:
Street Address, City, and Zip Code:
How did you hear about Just Us 4 Youth?
Clear selection
JU4Y requires a background check in order to participate in programs with youth. Are you aware of any issues that may prohibit you from working with youth?
Are you 18 years or older?
Clear selection
Availability: When are you available for volunteer assignments? 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM (anytime before noon)
PM (afternoon)
Are you volunteering for academic credits/requirement?
Clear selection
Are you requesting service hours that are court ordered?
Clear selection
Your Occupation (Supervisor's Name, Phone Number):
Interest in which areas are you best suited to volunteer?
Special Skills or Qualifications:
Previous Volunteer Experience:
                                                            Our Policy
It is the policy of our organization to ensure that no volunteer applicant is denied equal opportunity because of race, color, sex, national origin, religion, age, disability, marital status, pregnancy, sexual orientation, gender identity, genetic information, or any other non-merit-based factor. Thank you for completing this application form and for your interest in volunteering with us.
JU4Y often memorializes events through photos that may be used on JU4Y social media or for marketing purposes. Do you give permission to JU4Y to use your photo(s)?
Clear selection
                                                   Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that a background check will be performed and results may disqualify me from participation in some or all of the JU4Y Programs. I understand that if I am accepted as a volunteer any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report