2025 Volunteer Application Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Birthdate ( MM/DD/YEAR) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ethnicity *Black/African AmericanCaucasianHispanicAsianOtherSex *MaleFemaleHave you ever tutored before? *YesNoWhat is your favor subject to teach? *List any food allergies / medical conditions *Do you like working with Youth? *YesNoSometimesIt is important to model a positive attitude toward working with youth. "It is easier to build strong children than to repair broken men." -Frederick DouglassEmergency Contact Person *FirstLastEmergency Contact Phone *Will you be able to pass a mandatory background check in order to volunteer with youth? *YesNoHave you ever done any volunteer work before? If yes, tell us about your experience *Do you have any particular skills or qualities that your could use in your volunteer work? *How did you hear about our program? *How many days are you able to committ? *How many days are you able to committ? Select the days below Wednesday, October 22Wednesday, November 5Wednesday, November 19Wednesday, December 3Wednesday, December 17Wednesday, January 7Wednesday, January 21Wednesday, February 4Wednesday, February 18Wednesday, March 4Wednesday, March 18Wednesday, April 1Wednesday, April 15Wednesday, April 22Driver's License Number (Needed for Background check) *Expiration Date *Submit