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Volunteer Application

Discrimination: SKIP prohibits discrimination on the basis of race, ethnicity, national origin, gender, religion, age, sexual orientation, or disability in its services, programs and activities.

Slip and Fall or Illness: By completing this application I agree that SKIP will not be held liable for medical bills or other penalties, fines, or fees if I should sustain an injury or illness arising out of and in the course and scope of my volunteer work with SKIP and that in event of an emergency I authorize a supervisor to transport me to the nearest hospital or call 911 for assistance.

Parental Consent: All applicants under 18 years of age must have parental consent before placement as a SKIP volunteer. Parents: Click here to download the consent form. Please print, complete, and mail to us.

View Frequently Asked Questions about volunteering with SKIP

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Application Date *
 
How Did You Hear About Us?




 
Date of Birth: *
Applicants for some volunteer positions with SKIP must be 18 years of age or older. Applicants age 17 years or younger must have parental consent to complete this application. Additionally, before placement in any SKIP volunteer job, the parent or legal guardian of minors will be asked to sign and return a consent form which may be downloaded here.
First Name: * Middle Initial: Last Name: * Suffix:
Street Address: * City: * State: * 5-digit Zip: *
Home Phone Number: * Cell Phone Number:
 
Email Address: *  
 
Are you legally authorized to work in the USA?:
Have you ever been convicted of a crime in the last seven years?:
If yes, please explain:
Physical or Other Restrictions:
Emergency Contact: Contact Phone:
Volunteer Placement Organization: Volunteer Placement Organization Address:
Position Applied For:
and/or I am willing to assist with the following tasks:











I have the following special skills to contribute: *
I am available to help during the following days and times: *
Describe what you want to get from your volunteer experience: *





What skills do you wish to improve?
Anything else you'd like us to know?

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September 11, 2010
7PM
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