2018 Student Volunteer Program - Application

General Information

(include city, state and zip)
Primary Phone:
Parent/Guardian Phone:
Email address:
(Preferably not school email address unless you check that during the summer)

School Information

Name of High School or College:
Current year in high school:
OR Current year in college:

Health and Interests

Is there any type of work which your health or physical condition prohibits - or have you ever been advised by a physician to not perform certain types of work or recreation? If yes, please explain:
Please list number of missed days and reason for absences from school during the past two years.
What are your hobbies, interests and skills?
Are there dates you will not be able to volunteer (camp, vacation, etc.)? If yes, please list.
In general, which days of the week and times of day (am, pm, evening) would you be available to volunteer?
Attendance at Student Volunteer Orientation is required.
I will attend the Wednesday, May 23 Orientation from 9:30am to Noon.
I will attend the Friday, June 1 Orientation from 1 to 3:30pm.
If unable to attend either orientation, please apply another year.


We require two character/performance references using the form found here.

*For complete guidelines, click here

* Bring sealed references with you to your interview.