Application

Name

Street Address

City State

Home Phone

Work Phone

Cell Phone

Email

-

Have you ever volunteered for another Youth Organization?
 Yes No

If yes, which one & in what capacity

Are you volunteering to fulfill a community service commitment?
 Yes No

How many hours per week can you volunteer?

Please list the times that you will be available to volunteer:

ex) Mondays 3-5pm; Thursdays 11am-1pm

Please check the volunteer work(s) you are interested in doing at The Mix @ Arbor Place

What age group are you interested in working with?

Are you under the age of 18?
 Yes No