Volunteer Registration
Legal Name: Last Name / First / Middle *
Your answer
Email Address *
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Alternative E-mail
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Application *
Preferred Building *
Required
Military/Military Dependent *
List all previous names: (Maiden, previous married names, etc.)
Your answer
Address *
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City *
Your answer
State *
Zip *
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Daytime Phone *
Your answer
Cell Phone
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Evening Phone
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Current Employer
Your answer
Previous type of work
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Do you have volunteer experience *
Do you speak a language other than English? *
If yes, what languages(s)?
Your answer
If necessary, would you be willing to translate?
Have you ever lived in another State *
If so please indicate what State(s)
Your answer
Highest education level reached
Your answer
Other organizations where you volunteered
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Do you have physical limitations *
If so please explain
Your answer
Description of training or experience that may be pertinent to the volunteer position desired
Your answer
Do you have certifications in First Aid *
Do you have certification in CPR *
Do you have a valid driver's license *
Please list one or more personal / professional references with contact information
Your answer
Please check any skills that you are proficient in
What is the reason for volunteering?
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How did you hear about us?
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Are you an alumnus of Muskegon Public Schools *
Class of
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Do you have students in our district? *
If you have a child attending a Muskegon Public School, please list below.
Child (rens) full name(s) - School(s) - Grade
Your answer
Are you interested in?
Please check one if you are *
Required
Other
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Emergency Contact Name *
Your answer
Relationship to you *
Your answer
Emergency Contact Phone #: Day *
Your answer
Emergency Contact Phone #: Eve. *
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Please check any of the following areas of interest. Although, we have listed many items below we may have other areas where you may share your time, gifts and talents:
Student Services
Faculty/Staff Services
Facilities Management Services
Event Services
Parent Involvement/Volunteer Partners
Additional areas to share time, gifts and talents
Other
Your answer
Notes: (Office Use Only)
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Status (Office Use Only)
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