THINK Together Youth 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)  /  / 

Grade Level

School Name


Emergency Contact Information:

Name 
Address 

Telephone 
Relationship 
 


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

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 

Site Preference (if none leave blank)

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

             
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.