Teen Volunteer Application Form (Under 18 Years Old)
Please complete this application form if you are interested in becoming a Peace Village volunteer and you are under the age of 18. Once you complete the form, click the submit button at the bottom.
Contact Information
First name:
*
Last name:
*
Street 1:
*
City:
*
State:
Choose
IL
*
Zip:
*
Home phone:
*
OK to call me here
Cell phone:
OK to call me here
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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5
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28
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30
31
Year
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2022
2021
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2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
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1984
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1981
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1931
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
*
Gender:
Choose
Female
Male
School:
Emergency Contact
In the event of an emergency whom should we notify?
First name:
*
Last name:
*
Street 1:
*
City:
*
State:
Choose
IL
*
Zip:
*
Home phone:
*
Cell phone:
*
Relationship:
Choose
Daughter
Father
Friend
Legal Guardian
Mother
Neighbor
Son
Spouse
*
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
From:
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
To:
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
Please explain why you are interested in volunteering at Peace Village.
Volunteer Interests
Please indicate any skills, talents or knowledge that you wish to share with us.
Skills:
Clerical skills
Computer/technology skills
Crafting skills
Gardening
Play musical instrument
Sewing/knitting
Speak a second language
Parent/Guardian Consent
By submitting this form, I attest that my parent/guardian is aware of my interest to volunteer and consents to me volunteering at Peace Village.
I Agree
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