Date

Name

Address

City

State

Zip

Phone H

W

C

Email

Fax

Emergency Contact Name

PH

Occupation

Employer

Are you currently attending school? If so, where?

Major

Graduation Date

Where did you hear about GEMS and our volunteer opportunities?

Have you served as a volunteer at other non-profits? Please list

What did you do there?

Fundraising

Editing/Copyreading

Weekly Tutoring - Math/Science

Cosmotology

Please describe any prior experience in these areas

Time of Day

Day/s of the Week

How often per month

If you have a disability, what accomodations would you need to volunteer?

What specific areas would you like to volunteer in?

When are you available to vounteer?

Why do you want to commit to GEMS and our mission?

Yes

No

Are you willing to attend a CSEC training in order to volunteer with GEMS?

Due to safety and confidentiality issues, a fingerprint check, DMV check and a criminal background check are required for any individual volunteer working directly with our youth. Volunteer applicants must be willing to submit to these checks.

Do not click "submit" unless you agree to the following:
I certify that all of the above information is true and accurate and give my permission to contact the above-named references.

GEMS reserves the right to accept or reject an applicant without explanation