Students App

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Student Volunteer Application

The Dylan Keith and Laurie Foundation encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to participate and be trained in our procedures, we encourage you to complete the form below. The information on this form will be kept confidential and will help us find the most satisfying volunteer opportunity for you.

Name: Your Name

Required

Email: name@email.com

Required

Cell Phone: (555) 555-5555

Home Phone: (555) 555-5555

Home Address: Enter Address

City: Enter City

State: Enter State

Zipcode: Enter Zip

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School: School Name

School Level or Grade Freshmen, Sophmore or Grade 7, 8

Any special skills or talents you have that you feel would benefit our organization?

Please indicate days of availability:

Please indicate your time availability:

Do you have any physical limitations? If yes, please explain.

In case of emergency, who would like us to contact? Please include name and cell/home phone contact. Name and Cell/Home Phone Number

Submitting this volunteer application electronically is equivalent to signing a paper volunteer form. By clicking submit, you agree to abide by the policies and procedure set by the Dylan Keith and Laurie Foundation. In addition, you understand that you are volunteering at your own risk and that the Dylan Keith and Laurie Foundation, it’s employees and affiliates, cannot assume responsibility for any liability for any accident, injury, or health problems that may rise from any volunteer work performed. You understand all work is voluntary and you are not eligible for any monetary compensation.

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