Name *
Name
Address *
Address
Home Phone
Home Phone
Work Phone
Work Phone
Message Phone
Message Phone
Are you over the age of 18? *
If "No", please print out this form and have your parent/guardian sign it and bring it with you when you come to the center.
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Are you interested in teaching? *
Are you interested in Coaching / Tutoring? *
Elementary (3rd - 6th Grades) - please check all areas you are interested in:
Middle School (7th - 9th Grades) - please check all areas you are interested in:
High School (10th - 12th Grades) - please check all areas you are interested in:
Date available to begin volunteering: *
Date available to begin volunteering:
Please check the days you are available and would like to volunteer: *
Please check the days that you are not available to volunteer:
What time are you available in the morning?
What time are you available in the morning?
What time are you available in the afternoon?
What time are you available in the afternoon?
What time are you available in the evening?
What time are you available in the evening?
Example: Mondays, 8-9:30 a.m. and for Monday Night Football; Saturdays, 11:00 a.m. to 1:00 p.m.; day after Thanksgiving, Hanukah, Christmas day, third Thursday of each month, etc.
Are these volunteer hours required for:
Graduated?
Graduated?
I am interested in the Assistant Webmaster position