2010-11 Project Cornerstone/YMCA Volunteer Application

 

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1. Contact Information

Contact Information   First name
Last name
Address
City
State
ZIP code
Preferred telephone number (with area code)
Email address

2. Employment Information. Many employers provide grants or matching donations to nonprofit organizations where their employees volunteer. We ask for the name of your employer and your spouse/partner's employer so that we may seek potential funding opportunities.

Employment Information. Many employers provide grants or matching donations to nonprofit organizations where their employees volunteer. We ask for the name of your employer and your spouse/partner's employer so that we may seek potential funding opportunities.   My employer
Does this employer offer grants or matching donations to nonprofits?
Employer of spouse/partner
Does this employer offer grants or matching donations to nonprofits?

3. Area(s) of Interest: Please check as many as apply. (For example, if you plan to volunteer as an ABC volunteer in an elementary school and a book club facilitator at a middle school, please check both boxes.)

Area(s) of Interest: Please check as many as apply. (For example, if you plan to volunteer as an ABC volunteer in an elementary school and a book club facilitator at a middle school, please check both boxes.)   ABC - Asset Building Champions CHAPS - Los Dichos (Spanish languant) CHAPS - Chinese culture Book club facilitator (middle schools) "Taking It Personally" facilitator (formerly "Taking Asset Building Personally") Event planning General office assistance Translation

If you selected "translation," which languages?

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4. If you are applying to volunteer for ABC, CHAPs (including Los Dichos), or Middle School Book Clubs, please provide the name of your school. If you are applying for another kind of volunteer work, please let us know the location you'd like to volunteer, or let us know that you do not have a preference.

I would prefer to volunteer at this school or location:

If you are applying to volunteer for ABC, CHAPs (including Los Dichos), or Middle School Book Clubs, please provide the name of your school. If you are applying for another kind of volunteer work, please let us know the location you'd like to volunteer, or let us know that you do not have a preference. I would prefer to volunteer at this school or location:

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5. Have you ever been convicted of a criminal offense? You may omit traffic offenses; any convictions that have been sealed, expunged, or statutorily eradicated; convictions more than two years old for marijuana-related offenses for personal use; and misdemeanors for which probation was completed and the case judicially dismissed.

Have you ever been convicted of a criminal offense? You may omit traffic offenses; any convictions that have been sealed, expunged, or statutorily eradicated; convictions more than two years old for marijuana-related offenses for personal use; and misdemeanors for which probation was completed and the case judicially dismissed.   Yes No

If "yes," please explain: