COMMUNITY AFTER SCHOOL PROGRAM, INC.

1023 N. FLOOD AVENUE

NORMAN, OK 73069

VOLUNTEER APPLICANT INFORMATION

First Name *

Middle Name

Last Name *

Local Street Address *

City *

Zip Code *

Permanent Mailing Address *

City *

State *

Zip Code *

Cell Number *

Alternate Phone

Date of Birth *

Social Security Number *

Email Address *

Emergency Contact *

Emergency Contact Phone *

Do you have a high school diploma, General Education Development (GED) credential, or equivalent?

Yes

What is your major or degree area?

How did you hear about CASP?

SCHEDULE & POSITION

Work Hours: Monday - Friday 2:30 pm - 6:00 pm. List Days and Hours you are available to work. *

Which volunteer position(s) are you applying for (check all that apply)? *

Be Smart 1:1 Tutor

Be Smart Homework Helper

Be Fit Volunteer

Other (please specify below) Other (please specify below)

GENERAL QUESTIONS

Please tell us why you would like to volunteer with the Community After School Program. *

Please tell us about your past volunteering experience. *

Please tell us about your past experiences working with children. *

How would you deal with a child who will not cooperate or follow instructions? *

PERSONAL REFERENCES

Reference (1) First Name *

Reference (1) Last Name *

Reference (1) Relationship *

Reference (1) Mailing Address *

Reference (1) City *

Reference (1) State *

Reference (1) Zip *

Reference (1) Phone *

Reference (1) Email *

Reference (2) First Name *

Reference (2) Last Name *

Reference (2) Relationship *

Reference (2) Mailing Address *

Reference (2) City *

Reference (2) State *

Reference (2) Zip *

Reference (2) Phone *

Reference (2) Email *

Reference (3) First Name *

Reference (3) Last Name *

Reference (3) Relationship *

Reference (3) Mailing Address *

Reference (3) City *

Reference (3) State *

Reference (3) Zip *

Reference (3) Phone *

Reference (3) Email *

DISCLAIMER & SIGNATURE

I hereby certify the information provided on this form is true and complete to the best of my knowledge. I also authorize a complete background check, including verification of education and employment, reference check, and criminal background check, if needed, for the position for which I'm applying. *

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Date *