Conceive A Dream: Volunteer Application
Required: Please Email a current resume to info@conceiveadream.org
Email address *
Full Name *
Your answer
I would like to: *
If you would like to offer services, please specify: *
Your answer
Address *
Your answer
Telephone *
Your answer
Current Profession: *
Your answer
Post Secondary Education: List institution, degree received and year of completion. (EX: Spelman College, BA Psy, 2010 and Mercer U, MS Science, 2013) *
Your answer
Please list previous work or volunteer experiences with youth, young adults or any other from of mentoring, and length of time (i.e. Scouts, Church, Community, etc.): **Type N/A if you only wish to volunteers services such food or other donations** *
Your answer
Motivation for volunteering with us? *
Your answer
Please list any special skills, certifications, talents, hobbies or interests: *
Your answer
I hereby certify that the aforementioned statements are true and correct to the best of my knowledge. I hereby grant the agency permission to verify such answers. I understand that any false statement on this application may be considered as sufficient cause for rejection of this application or for immediate suspension of the practical or volunteer experience.
Signature *
Your answer
Date *
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