1. Personal Information Name Address City State Zip Phone: (home) (cell) (office)
Email: I'd like to subscribe to VIPS' volunteer mailing list. I have access to an insured car. Yes No I am willing to take the bus. Yes No Languages spoken fluently (other than English) Date of Birth (Month/Day/Year): / / How did you hear of VIPS? I am a: Current College Student (Volunteering for Course Credit) School: Year of graduation: Field of study: High School Student School: Parent Child's School: Community Member Business Affiliation Other affiliation, if any: 2. Volunteer Status I am a new volunteer. I am a returning VIPS' volunteer* .Previous placement School: Teacher: Would you like the same teacher? Yes No Don't Care Would you like the same school? Yes No Don't CareIf no, in which school would you prefer to work? * A VIPS' volunteer has been interviewed and trained by VIPS' staff and has references on file. 3. Which grade levels do you prefer? 4. I would like to help in the following area(s): ESL/Bilingual: Special Education School Library Assistance Math English Music Science Engineering5. I can work as a VIPS' Volunteer any of these times Classroom volunteers work in the schools between 8:30 AM and 2:30 PM. Most other VIPS' volunteers work at our Technology Center between 2:45 PM and 5:00 PM. Please indicate all the times that are convenient for you,so that we can make an assignment that fits your schedule. How many days per week can you volunteer? (VIPS asks for a minimum of 1 hour, 1 day a week)
6. References are required for all new VIPS' Volunteers. Please list two character references. They must be persons you've known for at least two years and cannot be family members. Name Address City State Zip Phone Relationship Name Address City State Zip Phone Relationship 7. VIPS' Administrative Volunteer Can you volunteer regularly one or two hours a week? Yes No We always need extra help with fundraising, clerical work, mailings and special projects. Would you consider volunteering for these? YES, please contact me. NO