Volunteer Application Form

Please complete this application form if you are interested in becoming a Robbinsdale Area Schools Volunteers In Partnership volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

First name:

Last name:

Nickname:

Street 1:

Street 2:

City:

State:

Zip:

Primary phone:

OK to call me here

Secondary phone:

OK to call me here

Email address:

Date of birth:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers. Your answers will not affect any volunteer placement decision.

Availability

Please indicate the days and times you are usually available to volunteer.

Interests/Skills

Education

Education:

High School:

College/Vocational School:

College/Vocational School 2:

Major field(s) of study:

Work Experience

Current Employer:

Employer offer volunteer incentives?:

Please provide length of time and a brief description of your work experience:

Volunteer Experience

Please provide a brief description of your volunteer experience:

Goal

Volunteers In Partnership is committed to making your experience a rewarding and satisfying experience.

What do you hope to gain from volunteering?

Criminal History

Felony conviction:

If yes, please explain the nature and date of the offense:

Emergency Contact

First name:

Last name:

Primary phone:

Relationship:

References

Please list 2 adults who know you well and are not related to you. You may include employers, co-workers or friends.

1

2

First name:

Last name:

Primary phone:

Special Accommodations

Disability?:

Please list any special accommodations you would like us to be aware of:

I am interested in volunteering my services to the community. I understand that although I am not an employee of Robbinsdale Area Schools, I will abide by the district policies pertaining to volunteers.

I certify that the information I have given in this application is accurate and up-to-date. I understand that submitting this application does not guarantee my acceptance into the Volunteers In Partnership (VIP) program and that a volunteer placement is determined following an assessment by the VIP administration. I understand that Robbinsdale Area Schools does not discriminate based on any legally protected status under federal, state, or local law.

I understand that if I have misrepresented application information and/or fail to adhere to program guide¬lines, I may have my application approval withdrawn. I understand the District requires background checks prior to acceptance as a VIP volunteer. Information will be provided regarding my rights and I will sign an appropriate release authorization if requested to do so.

I Agree