Name (required)

Email (required)

Your Address(required)

Home Phone

Cell Phone

Availability
During which hours are you available for volunteer assignments?
 Weekday Mornings
 Weekend Mornings
 Weekday Afternoons
 Weekend Afternoons
 Weekday Evenings
 Weekend Evenings

Your area of interest
 Tutors (grades Pre-K-12) specializing in math and english/literacy)
 Project coordinators (bulletin boards, holiday parties, field trips)
 Clerical (front desk to answer phones/file papers during afternoon hours)
 Kitchen helpers (assist during meals)
 Activities coordinator (organization of games)
 Technology instructors (Mac/PC)
 Entrepreneur trainers
 Gardening professionals
 Health & Wellness instructors

Clearances

 Acts 33 and 34
 FBI Fingerprinting

Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience
Summarize your previous volunteer experience.

Email (required)

Person to Notify in Case of Emergency

Contact's Name

Contact's Address

Contact's Email

Contact's Phone Number

Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Electronic Signature

Our Policy

All volunteers must sign in upon entering the building at the front office.
Smoking or using any kind of tobacco product is prohibited on all Bethany House Academy property including vehicles.
Only emergency telephone calls should be made. Personal calls while volunteering are discouraged.
Volunteers should always work with children in areas that are in sight of staff.
It is understood that there may be times when volunteers are not able to come to the program. Please leave message that you are not able to come in.

Thank you for completing this application form and for your interest in volunteering with us.