CKids Shine Volunteer Registration Form

Address

Your Phone Number
Birth Date

Month Day Year
Grade?
What school do you attend?
Have you volunteered in any youth services before?
If so, where did you volunteer?
Describe any skills, talents or hobbies you may have.
Are you able to be partnered with a special needs child?
Do you want to be paired with a girl or a boy?
Are you able to go to their home after school?
Are you able to go to their home on the weekend?
Will you be able to volunteer for all the programs?
Volunteer Policy:
- I agree to respect the child that I am working with.
- I agree to be patient and kind.
- I agree that if I am unable to handle my position, I will be honest and let someone know right away so that child can be paired with someone else.
Signature and Attestation: I agree that signing up to be a volunteer means that I have to follow all rules and policies.
Emergency Contact #1
First Name Last Name
Emergency Contact Phone Number #1
Emergency Contact E-Mail #1
Emergency Contact #2
First Name Last Name
Emergency Contact Phone Number #2
Emergency Contact E-Mail #2
I would like to receive news and updates from Chabad at Monterra by email. I understand that information I provide to Chabad at Monterra will be used according to its Privacy Policy and I can unsubscribe at any time.
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