If under 18, you will have to print this application and have your parents sign it.
In the event of an emergency, please list who we should call and any information that should be passed on to first responders.
List any information that should be passed on to first responders, doctors, hospitals, etc.
Placement and Goals for Your Volunteering Experience
Please read service descriptions. Some have requirements you must meet in order to serve in those areas. (You may check more than one, however you may only be assigned to one.)
Please list three people (not family members) who will serve as a confidential reference for you. By submitting this information, you authorize us to contact your references and you authorize your references to disclose to us information about you.
Agreement and Waiver
This field is for validation purposes and should be left unchanged.