Volunteer Application

Step 1 of 3

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Salutation(Required)

Name(Required)

First Last

Date of Birth(Required)

DD/MM/YEAR

Gender(Required)

Home Address(Required)

City

State

ZIP

Country

What is the best way to contact you?(Required)

Phone Number

XXX-XXX-XXXX

Emergency Contact Name

Emergency Contact Phone Number

XXX-XXX-XXXX

Are you a student?(Required)

Current Grade/Year of Graduation?(Required)

Are you currently employed?(Required)

Please list your current or most recent job, along with your employer's pertinent information.

Have you ever been convicted of a crime?(Required)

If yes, please explain.(Required)

Have you lived in another state in the past five (5) years?(Required)

If yes, which one?(Required)

Have you ever volunteered for another organization?(Required)

If yes, which one and in what capacity?(Required)

How did you hear about Kids Kicking Cancer?(Required)

Why do you want to volunteer with Kids Kicking Cancer?(Required)

Are you volunteering to serve a community service commitment?(Required)

How many hours per week will you be able to volunteer?(Required)

Please check the days of the week you are able to volunteer.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What size t-shirt do you wear?(Required)

Do you have previous experience working with pediatric cancer patients or children with illness?(Required)

If yes, please explain.(Required)

What type of volunteer work would you like to do here?(Required)

Do you have a background in martial arts?(Required)

If yes, tell us about your martial arts background.(Required)

Tell us about your experience teaching martial arts to children.(Required)

What skills, training, or knowledge do you have that will assist in your volunteer work?(Required)

Please provide three professional or personal (non-related) references who have known you for at least two years.(Required)

Include contact name, address, phone number, email and your relationship for each.

I give my consent and permission to Kids Kicking Cancer, Inc. to conduct any and all necessary background checks in order for me to be accepted into the Kids Kicking Cancer volunteer program.(Required)

Yes

I agree to undergo any and all medical tests required by Kids Kicking Cancer, Inc. in order for me to be accepted into the Kids Kicking Cancer volunteer program.(Required)

Yes

I agree to serve as a member of the volunteer team at the discretion of Kids Kicking Cancer, Inc. and to abide by the policies and procedures as explained to me during any volunteer training and activity.(Required)

Yes

I give my consent to provide my name, voice, photograph and film of myself to the media for advertising, social media, programming or promotional activities for Kids Kicking Cancer, Inc. and understand that I will receive no compensation for giving the permission.(Required)

Yes