Volunteer Application

2008 College Mentors for Kids Service and Leadership Retreat

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Thank you for your interest in College Mentors for Kids. We will respond to your application shortly.

Last Name:* First Name:* M.I.

Date of Birth:

Street Address:*

Apt/Unit #

City:*

State:*

Zip Code:*

Primary Phone (including area code):* H W M

Secondary Phone (including area code): H W M

Email Address:*

How did you hear about College Mentors for Kids?

Position(s) applying for:

Availability:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday	Morning (8am - noon) Afternoon (noon - 5pm) Evening (5pm - later)	Weekly days per week Monthly times per month Occasionally Please specify:

Date Available to start: Desired end date:

Volunteer Experience:

Organization:		Supervisor's name:
Position held:		phone:
Dates:		e-mail:
Duties:
Other volunteer experience:

Current Employment:

Organization:		Supervisor's name:
Position held:		phone:
Dates:		e-mail:
Duties:

Education/Credentials:

School Name:		Year in School (or dates attended):
Degree:		Major/Minor(s):
Other Credentials:

Why do you want to volunteer with us?

What are your hobbies, interests, and skills?

Please read the following carefully before accepting this agreement:

I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with College Mentors for Kids, Inc., that is true, correct and complete to the best of my knowledge. I understand that information contained on my application will be verified by College Mentors for Kids. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.

Accept this agreement Decline this agreement*

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