| Personal Information |
| *First Name: |
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| *Last Name: |
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| *Street Address: |
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| Apt No: |
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| *City: |
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| *State: |
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| *Zip Code: |
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*Home Phone:
Example: 5133635200 |
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Cell Phone:
Example: 5133635200 |
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Work Phone:
Example: 5133635200 |
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| *Date of Birth: |
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| *Email Address: |
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| Employment |
| *Employment Status: |
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| Job Title/Position: |
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| Company: |
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| Street Address: |
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| Suite No: |
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| City: |
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| State: |
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| Zip Code: |
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| Education |
*Indicate highest
level of education: |
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| Degree: |
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| Previous Experience/Skills |
| Please describe your previous experience below |
| Volunteer Experience: |
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What special skills, training
or interests do you have? |
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| Optional Information |
| For nondiscrimination reporting purposes only |
| Gender |
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| Age |
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| Race |
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| Preferences |
| Please choose either an area to volunteer in or pick a specific school |
| Location: |
West Northwest Downtown East Northeast |
| Grade Level: |
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| School Preference |
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| Volunteer Positions |
CYC has a number of different volunteer opportunities. For more information on the various different positions that are available click here. |
| *Position: |
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| References |
| Character Reference |
| *Name: |
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| *Relationship: |
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*Phone Number:
Example: 5133635200 |
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| *Street Address: |
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| *City: |
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| *State: |
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| *Zip Code: |
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| Character Reference |
| *Name: |
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| *Relationship: |
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*Phone Number:
Example: 5133635200 |
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| *Street Address: |
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| *City: |
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| *State: |
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| *Zip Code: |
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For the safety of the students, normal employment verification such as contacting references and police checks will occur. |
| How did you hear about CYC? |
| * |
Word of mouth TV Radio Internet
Newspaper Poster/Flyer Place of Employment
CYC Presentation Other |
| If other: |
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| Group Affiliation |
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| Statement of Commitment |
As a volunteer working with Cincinnati Students, I agree to: - Attend orientation and training sessions that help me as a volunteer
- Contact my mentee weekly and see him/her on a regular basis
- Provide up-to-date copies of my driver's license and car insurance
- Abide by all school rules, CYC and Board of Education policies
By clicking on the submit button you are agreeing to the statement of commitment and authorizing CYC to add you to their mailing list and contact you by either mail, phone and/or email. |
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* denotes required field |
