Germaine Lawrence Volunteer Application
Please fill out the form below to apply to be a Germaine Lawrence volunteer.
Program
*
For which program would you like to volunteer?
Amiga Program
Academic Tutor
Dorm Volunteer
Activities Leader
Cleanup Volunteer
Development
Other
If Other, please explain
If Amiga Program, are you over 21 years of age?
Yes, I am over 21 years old
Your Information
*
Your Name
*
Email Address
*
Phone
Best number to reach you
*
Street Address
*
City
*
State
*
Zip
Employment
*
Current Employer
If not currently employed, enter "None"
Employer
Please include contact information
Experience
Special Training / Skills
Please describe any special training or skill that you could bring to this program
Health
Please describe any health restrictions or concerns which would limit your involvement with this program
Adolescent Experience
Please describe any experience you have had with adolescents
References
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Name
Relationship
Phone Number
Availability
*
When are you available to volunteer?
Additional Information
Comments or Questions?
*
How did you hear about our volunteer program?
This website
Community Newspaper
Another Volunteer
Other
*
By checking here, you certify that the information contained in this application is true to the best of your knowledge
I certify this information is true and correct