Caring & Sharing Volunteer Application

*Indicates Required Fields

1. For marketing purposes, how did you first hear about Caring & Sharing?
Flyer
Georgia State University
Internet Search Engine
United Way
Word of Mouth
Other
2. Volunteer Applicant Information
*First Name:
*Last Name:
Date of Birth:
*Primary Phone Number:
*Email Address:
*Confirm Email Address:
*Street Address:
Unit/Apt
*City:
*State    *Zip
   
*County:
3. Emergency Contact Information
*Emergency Contact First Name:
*Emergency Contact Last Name:
*Emergency Contact Primary Phone Number:
4. Have you previously volunteered with Caring & Sharing?
Yes
No

If yes, indicate when. (Month & Year)
5. Do you have experience working with children?
Yes
No
6. Do you have a valid driver's license?
Yes
No
7. Has you driver's license ever been suspended or revoked?
Yes
No
8. Have you ever been convicted of a criminal offense?
Yes
No
9. Do you use illegal drugs?
Yes
No
10. Have you ever been charged with child neglect or abuse?
Yes
No
11. Other than the above, is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance, and care of children/adolescents?

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12. List one personal reference.
Name:

Email:

Phone:
13. List one professional reference.
Name:

Email:

Phone:
14. List any prior or current volunteer experience
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15. Area of Interest:
Field Trip Chaperone
Guest Presenter
Special Events Coordinator Assistant
16. Please share your biggest concern regarding adolescent girls.
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17. Give one detailed reason why you would like to volunteer with Caring & Sharing
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18. Interview/Photo Release Agreement
I have read and agree with the Caring & Sharing Interview/Photo Release Policy.
19. Liability Release Agreement
I have read and agree with the Caring & Sharing Liability Release Policy.

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