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Communities In Schools of Chesterfield Volunteer Application
Please complete this application to begin the process of being matched with a student! (Questions 2-8 are asked to match the data required for a background check.)
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Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Your answer
Suffix
JR
SR
II
III
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Maiden Name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Race
*
Asian/Pacific Islander
Black
Indian/Alaskan Native
Unknown/Other
White
Phone Number
*
Your answer
Home Address
Your answer
Please list your weekday availability for an in-person office visit (Ex. Mondays 11am-1pm). During this half hour meeting, we will complete background check and volunteer agreement paperwork, and get to know you more.
Your answer
A CIS-C staff member will be in touch to schedule your in-person visit. Please indicate how you would like to be contacted to schedule your visit.
Email
Phone call
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