VOLUNTEER PROGRAM APPLICATION FORM
(Please print or type)
PERSONAL DATA
Name_________________________
Home Mailing_______________________
Address_____________________________ zip code________
Home Phone Work Phone_______________________
Your Child’s Name Grade Teacher’s Name____________________________
REFERENCES
Name Position______________
Experience working with children_____________________________
Years of Volunteer Service to BPAA (including this year)__________
TYPE OF VOLUNTEER SERVICE PREFERRED:
? Listen and tutor students ? Assist with decoration ? aide
? Read aloud to students ? Assist with art activities
? Math tutor ? Clerical work in keeping files and the books
? Tutor (subject) ________________
? Small group work ? Spring Break aide - teacher ? Student helper
? Assist with special needs student ? Summer Camp aide
? Computer skills _______________ ? classroom participation
? Mentor ? Other______________________________
Interests/Hobbies_______________________________________
Please indicate the days and hours you can serve:_____________
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Please circle: AM or PM
PERSON(S) TO CONTACT IN CASE OF AN EMERGENCY:_____________________________
In consideration of my volunteer work, I agree to conform to the policies and rules of Brooks Peoples Academy and Arts.
Everyone can make a difference in helping someone grow. You don't have to have a college degree to serve. You don't even have to know art or be creative to serve. We have lesson plan for you to follow. All we need is YOU!.... “You only need a heart full of grace. A soul generated by love..."
Dr. Martin Luther King, Jr.