Volunteer Application

Leadership Society Event and Honorary Campaign Chair Dr. Martin Jischke Boost Individual Giving

Chapters Wrap Up Year with Awards Banquets

College Mentors Seeks Summer Intern

Forgot Your Password? Click Here

Thank you for your interest in College Mentors for Kids. We will respond to your application shortly.

Last Name:* First Name:* M.I.

Date of Birth:

Street Address:*

Apt/Unit #

City:*

State:*

Zip Code:*

Primary Phone (including area code):* H W M

Secondary Phone (including area code): H W M

Email Address:*

How did you hear about College Mentors for Kids?

Position(s) applying for:

Availability:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday	Morning (8am - noon) Afternoon (noon - 5pm) Evening (5pm - later)	Weekly days per week Monthly times per month Occasionally Please specify:

Date Available to start: Desired end date:

Volunteer Experience:

Organization:		Supervisor's name:
Position held:		phone:
Dates:		e-mail:
Duties:
Other volunteer experience:

Current Employment:

Organization:		Supervisor's name:
Position held:		phone:
Dates:		e-mail:
Duties:

Education/Credentials:

School Name:		Year in School (or dates attended):
Degree:		Major/Minor(s):
Other Credentials:

Why do you want to volunteer with us?

What are your hobbies, interests, and skills?

Please read the following carefully before accepting this agreement:

I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with College Mentors for Kids, Inc., that is true, correct and complete to the best of my knowledge. I understand that information contained on my application will be verified by College Mentors for Kids. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.

Accept this agreement Decline this agreement*

212 West 10th Street, Suite B260 Indianapolis, IN 46202 P: 317.921.1798 F: 317.921.1799 Toll-Free: 1.877.473.2635