Volunteer Application - match.friendshipcirclesd.com

Teen Volunteer Application 2022-2023

Name ____________________________________________

Birth Date ____/____/______ Grade___________________

School ___________________________________________

Home Address _____________________________________

City ________________________ Zip Code _____________

Home Phone ( ) _____________________________

Cell Phone ( ) ___________________________________

Your E-mail Address _________________________________

Please attach a copy of your latest report card

Additional Information

Father’s Name ________________________________

E-Mail Address _________________________

Cell Phone ( ) _____________________________

Occupation ____________________________

Mother’s Name ________________________________ E-Mail Address _________________________

Cell Phone ( ) _____________________________ Occupation ____________________________

Do you have a friend you would like to volunteer with? Yes / No

Name _________________________________________ Phone ______________________________

Please list two references (not relatives)

Name ________________________ Relationship _________________ Phone __________________

Address ____________________________________________________________________________

Name ________________________ Relationship _________________ Phone __________________

Address ____________________________________________________________________________

Parental Consent (Please Initial each line)

I give my child permission to volunteer in the Friendship Circle. Yes / No ______

I permit my child’s photos to be used for publicity purposes. Yes / No ______

I am available to drive my child to and/or from activities. Yes / No ______

Date ___________________________ Signature of Parent/Guardian _____________________________

Friendship Circle SD, Inc.

2558 Roosevelt street suite 200E, Carlsbad 92008

Phone 858-633-7238