Volunteer

Volunteer Form

* Indicates required field

Volunteer Name *

First

Last

Volunteer Email *

Volunteer Cell Phone (If applicable) *

Parents Name *

Parents Email *

Age *

Under 18 Over 18 Parent of a Volunteer Driving Volunteer

{To volunteer as a driver, please let us know here}

Home Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Volunteer Date of Birth *

Volunteer Gender *

Male Female

School attending *

Please check any that apply: *

I take medication I have allergies I have a medical condition

Please explain if applicable: *

Additional concerns or info our staff should be aware of? Please share you hobbies, talents, interests so it can help best match up with the child's... *

References

Before any volunteer begins, we do a solid reference check with 2 adults- (Sample of reference can be...) teachers, family friend, director of organization you have worked or volunteered for, parent you have babysat for, etc...

Reference #1 *

Phone Number for Reference #1 *

How do you know Reference #1? *

Reference #2 *

Phone Number for Reference #2 *

How do you know Reference #2? *

If you have a preference to work with a specific friend, please let us know here; *

Volunteer Opportunities

Please check which program you'd like to volunteer for: *

My Big Friend Program (Bi weekly buddy - yearlong) Teens who Care (Short term family visits) Homework Helpers Chicken Soup for the Soul Cook-off Community Kindness (Teen Events Helping our community)

Submit

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a_ripple_effect_code_of_conduct-2.pdf
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