Volunteer Application Form


Name *
Name
Home Address
Home Address
Phone
Phone
What's the best way to reach you?
Birthday
Birthday
Are you...
How often are you interested in volunteering?
Please select all that apply
Example: Long term, short term, looking to fill credit/community service hours, during the school year only, summers only.
How do you feel about changes to your schedule?
Skills. Interests & Hobbies
Please check what areas you are interested in:
(i.e. sports, arts, chess, computers, office work, speak a foreign language, created your own multi-million dollar website, etc.)
Volunteering at Our Place
Address
Address
Phone
Phone
Agreement
I understand that as a volunteer, I may acquire sensitive information regarding Our Place of New Trier Township and its participants, staff, and/or associates. I agree that I will not disclose this information or any other details of my volunteer work to any third party during or after my volunteer service, unless required by law to do so. I agree that Our Place of New Trier Township may use photos taken during programs in promotional materials. I confirm that I have read the above statements and agree with them and I will therefore adhere to all confidential requirements contained in this agreement or as may be otherwise directed to me in writing by my supervisor as a volunteer.
Name
Name
Date
Date
Parent Name (If under 21)
Parent Name (If under 21)
Date
Date