Volunteer Interests (please choose all areas that you would be interested in):

    Sibship 11:00am-3:00pm last Sat monthly
    Group Respite 6-8pm Fridays 12:30-4:30pm Saturdays
    Events/Other
    Camp Programming during school breaks
    After School Program MTuWF 3:00-6:00pm Th 2:00-6:00pm
    Daycare 0-5 years

    Reason for Volunteering

    Work
    School
    Fraternity/ Sorority
    Job Interest
    Community Service
    Other

    Applicant Information


    Are you 18 years or older?

    YesNo

    Do you have a health related condition that may interfere with your ability to safety and effectively perform any duties of the position for which you are applying?

    YesNo

    Have you ever been known by any other name(s)?

    YesNo

    Have you ever been convicted of a felony?

    YesNo

    Have you ever had a founded case of child or dependent adult abuse?

    YesNo