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Youth Volunteer Application

Name *

First

Last

Email *

Birth Date (MM/DD/YYYY)

Cell Phone Number

Home Phone Number

Gender:

Female
Male
Non-Binary
Other

What languages do you speak? (Mark all that apply.)

English
Spanish
Other

1. Are you currently in school?

Yes
No

If yes, name of school:

2. Are you currently employed?

Yes
No

a. What kind of paid work do you do?

b. How many hours per week do you work?

10 or less
11-20
21-30
31-40

c. Is there any reason you believe your work will keep you from being able to participate in meetings/activities?

3. What opportunities interest you most about TYM4Change? (Mark all that apply.)

Doing service work in my community.
Learning how to conduct surveys and polls.
Interviewing people and/or conducting focus groups.
Learning documentary filmmaking.
Conducting/participating in town hall meetings.
Making presentations to members of my community.
Gaining experience to put on a resume or college applications.
Participating in leadership training.
The chance to earn a $100-$300 incentive every month.
Making positive changes in the lives of people in my community.
Mentoring and/or tutoring younger students.

4. What interests, experiences, or skills do you have that make you right for TYM4Change?

5. What do you hope to learn or gain from being a part of TYM4Change?

6. Will you need help with transportation to meetings and events? (We can often provide rides and/or bus passes.)

Yes, most of the time
Yes, sometimes
No
Not Sure

7. Can you make a commitment to volunteer with us at least 4 hours a week or 16 hours a month?

Yes
No

8. List one adult reference other than a parent/guardian. This could be a teacher, a coach, a pastor, or other adult who knows you.

Reference Phone Number

How does this person know you?

9. What questions do you have for us, if any?

https://tym4change.org | support@tym4change.org | 661-619-6166

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About Us
Our Projects
Donate
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Ways We Can Serve
Apply Today!

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