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BACKGROUND INFORMATION |
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Gender:
Female
Male |
Education completed:
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Are you or members of your family current or past participants in any Tumbleweed Center for Youth Development programs or services?
Yes
No If yes, which program?
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In case of emergency,
contact
(Name & Relationship) |
Daytime Phone
Evening phone
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How did you hear about Tumbleweed? |
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Why are you interested in volunteering
with Tumbleweed? |
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What are your expectations of a volunteer experience?
What do you hope to Learn/accomplish? |
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What skills/talents do you plan to contribute as a volunteer
(such as fluency/knowledge of Spanish or other language)? |
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EMPLOYMENT INFORMATION |
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Current Employment status:
Full-time
Part-time
Not employed
Self-employment |
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VOLUNTEER PREFERENCES |
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I am most
interested in An Ongoing Volunteer Experience |
If checked, approx. how
many hours per week?
hours |
For how long? Until
(date) |
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I would be willing to help with (Please check all that apply, indicate your first choice.) |
Administrative Help
Ongoing
Special Event/Fundraising Help |
* Working with
Youth * - What would you do?
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* As an On-Call Driver for Our Safe Place Program * |
A Short-Term
Volunteer Experience - If checked, approx. how many
hours total? hours |
Special Events Serving Meals Christmas and/or Thanksgiving Help |
Renovation/Moving (i.e. inside painting residences, helping youth move into apartments…) |
Manual Labor/Construction (i.e. picking up furniture donations, and other residential projects) |
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* If you checked a starred item(s), it means that you would be working directly with youth and a background fingerprint check is required (licensing regulations). The fingerprinting is a $42 cost to you (arrange via Arizona Dept. of Public Safety). As a prospective ongoing volunteer working directly with youth, you would also need to go through a formal interview and application process. Please acknowledge that you have read, understood and agree to the above statement by initialing here (your initials). |
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AVAILABILITY |
Days/Times
(please check): |
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I will not be available
(vacation, school etc.)
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Are there any medical/physical concerns to be considered in your volunteer assignment?
Yes
No |
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I am interested hearing more about the following program(s): Please Check all that apply |
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REFERENCES Professional (Two are
required) |
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Name:
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Address:
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Phone:
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Name:
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Address:
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Phone:
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I certify that the information I have provided on this application is accurate. I understand that acceptance of this application does not constitute acceptance as a volunteer, and that assignment to a volunteer position is based on assessment by program staff and the availability of a suitable position for me. |
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Your Full Name:
Initials:
Date:
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