Volunteer Application

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Weekday mornings
- Café de Madres childcare volunteer 9-11am (tbd)
Weekday afternoons
- Afterschool volunteer 3:30-5pm
Family Night volunteer
- 5-7pm (every other month, tbd)
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)
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Email
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*
Date Format: 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.

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All contributions are tax deductible and can be mailed to: 813 Hampton Ave, Greenville, SC 29601