Volunteer Interest Form

Tuesday, November 18, 2008
Signin Sign-up

Kalamazoo Communities In Schools banner

Home

What We Do

Calendar of Events

Advancement Campaign

Volunteer with KCIS

Board of Directors

Employment

CDF Freedom School

Contact Us

Site Map

Volunteer Interest Form

Minimize

Please enter your first name

First Name:

Please enter your last name

Last Name:

Please enter your sex:.

Sex:

MaleFemale

Please enter your Date of Birth.

Date of Birth (MM/DD/YYYY):

Please enter your Race/Ethnicity.

Race/Ethnicity:

Please enter your Drivers License Number.

Drivers License Number:

Please select the option

Drivers License State:

Please enter a value for the field Street Address.

Street Address:

Please enter your city

City:

Please select the option

State:

Please enter your zip code

Zip Code:

Please enter your email address

Email Address *:

Required

Please enter your telephone number

Telephone:

Please enter your cell phone number

Cellular Phone:

Please enter your work phone number

Work phone:

Please enter your campus address

Campus Address:

Please enter your city

Campus Address - City:

Please select the option

Campus Address - State:

Please enter your zipcode

Campus Address - Zip Code:

Check any of the volunteer opportunities that interest you

Volunteer Opportunities:

Mentoring
Tutoring
After-school programs
Office Tasks
Special Events

Please enter a value for the field Preferred Grade Level.

Preferred Grade Level:

K-3
4-6
7-8
9-12

Please enter a value for the field Preferred gender.

Preferred gender:

Male
Female
None

Please enter a value for the field What would you like to tutor in?.

Preferred location:

None
Arcadia Elementary
Edison Environmental Science Academy
King-Westwood Elementary
Milwood Elementary
Parkwood-Upjohn Elementary
Spring Valley Center for Exploration
Milwood Magnet
Lincoln International Studies School
Kalamazoo Central High School
New City Success Center

Please enter a value for the field Please list your strengths.

Strengths:

Math
Science
Computers
Reading
Writing

Please list any languages spoken other than English.

Languages spoken other than English:

Click Yes or No

Do you have transportation?:

YesNo

Please tell us about your educational background, e.g. attending college, Bachelor's degree, etc.

Educational Background:

Please select yes or no

Does this class count towards class credit? If so, list instructor and course.:

Yes
No

Please enter a value for the field Instructor.

Instructor:

Please enter name of Course.

Course:

Please enter a value for the field Current employer.

Current employer:

Please enter a value for the field Current Occupation.

Current Occupation:

Please enter a value for the field Please list any previous volunteer involvement..

Please list any previous volunteer involvement.:

Please enter a value for the field Reference 1 (other than a relative).

Reference Name (other than a relative):

Please enter your street address

Street Address for Reference 1:

Please enter your city

City for Reference 1:

Please select the option

Reference 1 State:

Please enter your postalcode

Zip Code for Reference 1:

Please enter email address

Reference 1 Email Address:

Please enter telephone number

Reference 1 Telephone:

Please enter a value for the field Reference 1 (other than a relative).

Reference Name 2 (other than a relative):

Please enter your street address

Street Address for Reference 2:

Please enter your city

City for Reference 2:

Please select the option

Reference 2 State:

Please enter your postalcode

Zip Code for Reference 2:

Please enter email address

Reference 2 Email Address:

Please enter telephone number

Reference 2 Telephone: