Volunteer and Practicum Application

Name *
Birthdate (21 years minimum requirement) *
Birthdate (21 years minimum requirement)
Preferred Phone *
Preferred Phone
Home Address *
Home Address
Phone *
I am willing to get a criminal record check done *
Which programs are you interested in volunteering in?
Select all that apply
Do you have experience working with at-risk youth? *
Are you currently a student?
Is this for a practicum or internship placement?
Completed degree, starting program next year, etc.
Are you currently working? *
If relevant to volunteer position
Are you willing to commit to a volunteer position for a full school year, Sept-June? *
If not, are you willing to commit to a volunteer position for a ½ year, Sept-Dec or Jan-June? *
Are you able to volunteer on a weekly basis? *
If NO: Can you volunteer on a bi-weekly basis?
Take a Hike operates from 8:30am – 3:00 pm Monday to Friday. Are you available to volunteer during those hours? *
Please list general availability
Select all that apply
What area/s would you like to volunteer in? *
Pick all that apply
Are you able to provide two references if asked? *
Are you okay with us adding you to our mailing list? *