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May 19th

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Security Code:

Enter Security Code:

First Name:

Last Name:

Your Email:

Password:

Verify Password:

Agency:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Website:

County:

Mission Statement:

Program:

Program Description:

Volunteer Coordinator:

Volunteer Coordinator Phone:

Background Checks:

Criminal Background Check	Name Check
Fingerprints	County/Local Check
Reference Checks	DMV Check
FBI Background Check	Child Abuse Registry
State Background Check	No Background Check

Screening:

Phone Interview

In Person Interview

Does your agency have liability insurance:

yes no

Volunteer Time Options:

Weekdays	Weekday Evenings
Before School	Weekends
After School

Volunteer Time Required:

School Year	2+ Years
1 Year	No minimum time required
2 Years

Volunteer Requirements:

Literacy Requirements	Valid Driver License
Drug Screening	Bilingual
Food Handler Permit	Transportation
Insurance	Valid ID
Vehicle Liability	None

What age group(s) does your agency serve:

Pre-K	Middle School
Elementary School	High School

Categories:

Administrative/Clerical

After School Program Assistant

Arts and Crafts

Career Coach

Child Advocacy

Child Care Provider

Classroom Assistant

Community Outreach

Counseling

Custodial/Janitorial

ESL

Food/Snack Preparation

Fundraising

Grant Writing

Health Services

Internships

Life Skills

Mentoring

Parenting Mentor

Reading

Respite

Social Work

Special Event Assistance

Sports

Teaching/General Ed

Technical Skills

Transportation

Tutoring

Faith Based Agency:

no

yes

Volunteer Job Description:

AGENCY Use Only

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