Volunteer Application

Complete form below

Volunteer Application

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Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Date of Birth*

MM slash DD slash YYYY

Days Available

Monday

Tuesday

Wednesday

Thursday

Friday

Weekday mornings

Café de Madres childcare volunteer 9-11am (Every Tuesday)

Weekday afternoons

Afterschool volunteer 3:30-5pm

Family Night (Groups Only)

5-7pm (every other month, tbd)

This volunteer opportunity is for groups who are able to sponsor meals for the night.

Interests: Tell us in which areas you are interested in volunteering.

Administration (grant writing, newsletter)

Program (afterschool, parent engagement, parent café)

Board/Committee membership (fundraising, program, admin/finance, marketing, events)

Agreement and Signature*

I agree with the following:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I acknowledge that I must attend orientation and a background check will be submitted by YouthBASE before I can volunteer.

Name*

Date*

MM slash DD slash YYYY

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.

Phone

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Email*

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