First Name

Last Name

Address

Email

Phone number

Birthdate

Emergency Contact

High School Attended

Location of High School

Number of Years Attended
1234
Did You Graduate Highschool?
YesNo
Did You Attend College?
-- Choose one --YesNo

How did you come to know about DeNeuville Learning Center for Women?

Do you have any previous volunteer experience?
-- Choose one --YesNo

What days and times you be able to volunteer?

What type(s) volunteer work are you interested in doing or finding out more about?
-- Choose one --Tutoring students/teaching a class (English, Math, Reading, Science, Computer Studies, English as a Second Language)Answering the telephoneChildcareGrant WritingFundraisingOther

Do you have any special training, experience, or interests that might benefit DeNueville Learning Center for Women students/Center or in general?
-- Choose one --YesNo

Please list 3 personal references we can contact
First Personal Reference's Name

Telephone

Address

Second Personal Reference's Name

Telephone

Address

Third Personal Reference's Name

Telephone

Address

Responsibility and Commitment ***Read Before E-signing***
Volunteers at DeNeuville Learning Center are as important as staff members and are expected to be responsible and reliable. We make every effort to create a consistent environment for our students. We ask that you complete your volunteer assignment when scheduled and for the length of time agreed upon. We need you to call in advance if you are unable to come in due to illness or emergency. Please sign below if you agree to these responsibilities.
Please type your name below to sign.

DeNeuville Learning Center may terminate your volunteer position at will at anytime with or without notice or cause. The volunteer application or the volunteer position at DeNeuville Learning Center should not be considered as an agreement or a contract between you and the agency.

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