After School Volunteer Inquiry

First Name

Last Name

Address 1

Address 2

City

State/Province

Zip

Country

Phone

Are you looking for work or volunteerism ?

I can make a commitment to volunteer:

Weekly

Bi-Monthly

Monthly

One-Time

How many hours per day can you volunteer?

I am interested in volunteering as:

A Homework Helper

A Cycling Coach

A Cycling Assistant Coach

A Field Trip Assistant

An Architecture & Design Workshop Leader

A Gardening Assistant

Who referred you?

If you are under 18, please list age

Current Occupation

Date you wish to start

Highschool

College

Business or Trade School

Professional School

Type of employment desired

Part-Time Only

Check current Certifications/Certifications

Advanced First Aid

First Aid

CPR

NYS Mandated Reporter

Food Handler

Other

Share any additional, relevant licenses, certifications, or trainings you have completed:

Availability for interview by telephone

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What time of day?

Morning

Afternoon

Evening

Why do you want to volunteer at this after school program?

Tell us about an adventure you planned and completed:

Anything else we should know about your background or skills related to this position?

Did you complete this application yourself?

If not, who did?

I understand that I will need to submit to a background check prior to participation:

Yes