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UU/School Partnership Volunteer Application
Please complete so that we can find a great volunteer assignment for you!
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First name
Your answer
Last name
Your answer
City
Your answer
State
Your answer
Street address
Your answer
Zip code
Your answer
Phone number
Your answer
Alternate phone number
Your answer
email
Your answer
How many hours at a time do you want to volunteer?
Your answer
How many days per week do you want to volunteer?
Your answer
How many total hours/week would you like to volunteer?
Your answer
Which days and times are you available to volunteer?
School #15 is open 8:00 - 2:10 , School #22 is open 9:00 - 4:30
Your answer
Do you have a school preference
School #15 -- The Children's School
School #22 -- The Lincoln School
Wherever I'm needed
What subjects are you interested in?
Literacy
Math
Science
Social Studies
Other:
What type of volunteering are you interested in?
1:1 tutoring
small group work
however the teacher needs me
extended day club (only at School 22: K-2 at 3:15-4:30 and grades 3-6 at 8:45-10:00)
HOSTS (only at School 22: 1:1 grade 2 literacy program)
Other:
Do you speak Spanish or any other language? Please list.
Your answer
Do you have any special skills or talents we should know about?
Your answer
How did you hear about this volunteer program?
City School district
First Unitarian Church
City Newspaper ad
From another volunteer
From the school
University of Rochester
Other:
Are you affiliated with First Unitarian Church?
Not necessarily a member, but are connected
yes
no
Clear selection
First name of Reference
Your answer
Last name of reference
Your answer
Reference phone number
Your answer
Reference e-mail
Your answer
Emergency Contact name
Your answer
Emergency contact phone number
Your answer
Anything else that we should know or that you would like to share?
Your answer
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