EmailMe Form - Volunteer Application

I am interested in the following types of community service:
(Please select all that apply.) *

Hold down the "Ctrl" button to select multiple lines.

Volunteer Category *

Volunteer's Name *

First Last

Date of Birth *

MM / DD / YYYY

Note: This is used strictly for completing required background checks and will be kept confidential.

Volunteer's Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Volunteer's Email

Volunteer's Phone Number

### - ### - ####

Volunteer's T-shirt size

Parent/Guardian's Name

First Last

Complete this field if volunteer is under 18 years of age.

Parent/Guardian's Phone Number

### - ### - ####

Complete this field if volunteer is under 18 years of age.

Briefly describe any prior community service or vounteer work that you have done.

Briefly describe why you would like to volunteer with REACH.

Policies *

I agree

By clicking the "I Agree" button above (either as a volunteer or as a parent/gurardian of a volunteer) you are confirming that you (and/or minor volunteer) will abide by and comply with REACH policies and principles. You further understand that in order to work with the youth and families that we serve, you may be asked to consent to a background check, and possibly even a drug screen depending on the event.

Photo/Video Release *

I Agree

By clicking the "I Agree" button above (either as a volunteer or as a parent/guardian of a volunteer) you confirm that you understand that REACH Council frequently takes photographs and/or videos during our events, programs and presentations, and that you (or a minor volunteer) may be featured in such photos or videos. You further agree that you authorize REACH to use those photographs or videos without restriction or compensation to you, including but not limited to, newspaper print, website publication, etc.

References

If you have any references you would like to provide, please upload them here. File types .pdf, .doc or .docx are acceptable.