THINK Together College Volunteer Application

First Name 
 

Middle Name 
 

Last Name 
 

Address 
 

City 
 
State 
  Zip Code 
 

Home Phone 
 
Work Phone

Best time to contact you 
 

Email Address

Gender 
 

Date of Birth (MM/DD/YYYY)      /      /     

Occupation 
 

Business/School/Organization Name 
 

Course Number 
 
(Fill in if you are participating in a Service Learning class.)



OTHER INVOLVEMENTS
Please fill out as many that apply and specify the name of the location
Church / Faith Organization

Clubs / Organizations

Sports Team/League

Other
  
How did you first hear about our program? 
 

Please list any of your special skills, interests, activities, hobbies and/or other languages spoken

If you have previous volunteer experience please describe it here

 

How would you like to receive information from us?
 

Please indicate below the days and starting times that you are available to volunteer.  Keep in mind that programs run from 2pm-6pm and take this into  consideration when selecting a starting time.

Monday 
 
Tuesday 
 
Wednesday 
 
Thursday      
 
Friday 
 



Please indicate the age group with which you prefer to work (you may select more than one from the list) 
 
 

Emergency Contact Information:


Name 
 
Address 
 

Telephone 
 
Relationship 
 

Although our primary concern is providing direct assistance to the academic and social formation of our students, we have other areas of need for volunteers. If you are interested in helping THINK Together in any of the following areas of need, please indicate them below. (you may select more than one from the list) 
 

Do you have any special needs to be able to volunteer? 
 

Have you ever been accused, arrested, or convicted for any sexually related crimes? 
 

Have you ever been arrested or convicted of a substance abuse related crime? 
 

Have you ever been convicted of a felony? 
 

Please give the name, address and phone number of two current personal references who would be able to provide information related to your volunteer work, personal history and experiences.



Name 
 
Address 
 

Telephone 
 
Relationship 
 

Name 
 
Address 
 

Telephone 
 
Relationship 
 

Comments 
 

APPLICANT'S STATEMENT
The information contained in this application is correct to the best of my knowledge. I authorize any references or organizations listed in this application to give you any information they may have regarding my character and fitness working with children, and I release all such references from liability for any damage that may result from furnishing such evaluations to you. I understand that any personal information will be held in strict confidence.

I also agree to hold harmless THINK Together, it's partners, their boards and commissions, and their officers, agents, and employees from and against all claims, loss, or liability of any kind or nature for any possible injury incurred during volunteer service.