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NOTE: All fields are required.

Application Date



Birthdate

Preferred Phone







T-Shirt Size



How Long At Current Position?

Company Street

Company City

Company State/Province

Company Zip/Postal Code


Emergency Contact Name

Relationship to Emergency Contact

Emergency Contact Phone

Please describe your prior experiences working on a school campus

What experiences have you had that may prepare you to volunteer as a Group Facilitator?

Why do you want to facilitate groups with Teen Life (or what do you hope to gain from this experience)?

Have you ever been convicted of a sexual-related or child abuse offense?

Reference Name

Relationship to Reference

Reference Phone

Reference Email

Please read this entire paragraph:
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position with Teen Life, that is true, correct, and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Teen Life. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Teen Life or my termination as a volunteer.

By checking this box, I certify that all the information provided is accurate and truthful.