The Children's Center - Detroit, Michigan - Develop Strong Children and Successful Families

Volunteer at The Children's Center

Personal Information

Please enter your name and address and contact information so we may contact you. Thanks!

First Name:

Last Name:

Address:

City:

Zip/Postal Code:

Home Phone :

Alternate Phone :

E-Mail:

Emergency Contact

For your safety, please enter two emergency contacts. Thank you!

Name:

Relationship:

Phone:

Name:

Relationship:

Phone:

Education

High School:

College:

Professional License

Special Training:

Foreign Language:

Sign Language:

Additional Comments

Work/Volunteer Experience

Skills/Hobbies

Volunteer Opportunities

Areas of Interest

Please check all that apply.

Availability

Agency hours are Monday-Thursday 8am-8pm & Friday 8am-5pm.

Volunteers working with children require a Central Registry Clearance from (DHS) Department of Human Services and Background Check from the State of Michigan

Volunteering frequency: Daily Weekly Monthly Other

Day and Time: Monday Tuesday Wednesday Thursday Friday

Personal References

Please list 3 personal references other than relatives.

Reference 1

Name

Relationship:

E-Mail:

Phone Number

Reference 2

Name

Relationship:

E-Mail:

Phone Number

Reference 3

Name

Relationship:

E-Mail:

Phone Number

Background Information

How did you hear about The Children's Center?

Do you have a previous relationship with The Children's Center? Yes No

If yes, please explain

Have you ever been convicted of any violations of the law other than minor traffic violations?* Yes No

If yes, please explain

Have you ever been convicted of a felony offense? Yes No

If yes, please explain

Are there any felony charges pending? Yes No

If yes, please explain

Have you ever been administratively determined by a federal state and/or local government to have committed abuse or neglect? Yes No

If yes, please explain

If you have filled out this application as a prospective volunteer, please read the following:
I certify that the information provided is true, correct and complete to the best of my knowledge. I also acknowledge that should any information on this volunteer application prove to be false or misrepresented, my application may be rejected and I may be terminated. I also authorize The Children�s Center to verify all of the information provided as allowed by law. I certify that the information provided is true, correct and complete to the best of my knowledge. Please e-sign and date the application.

Name:

Date:

Not able to volunteer right now, but you are interested in learning more about The Children�s Center by keeping informed about our activities and upcoming events or helping us with a donation? If so, fill in your name, address and phone number at the top of this form and check the applicable lines below:

I would like to Tutor

Annual Report

Special Events

Information on upcoming activities

Power of Possibilities Breakfast

Monthly Volunteer Services Updates

Monthly Birthday Party

Program Information

Donation for the Closet O'Stuff

Need Help?

Personal Information

Emergency Contact

Areas of Interest

Availability

Personal References