Flint Hills Volunteer Center Youth Volunteer Profile

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About
RSVP KC
FHVC P.A.C.T.
Programs
Volunteer
Events
Donate

Student Volunteer Enrollment

Step 1 of 5

20%

STUDENT VOLUNTEER INFORMATION
Middle & High School students under 18 years old only
Contact Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Birth Date*
MM slash DD slash YYYY
Why are you interested in volunteering?*

Demographic Information
What is your gender identity?*
- Male
- Female
- Non-binary/ third gender
- Prefer not to say
Racial Identity*
- Caucasian/ White
- African American/ Black
- Hispanic/ Latino
- Asian
- Hawaiian/ Pacific Islander
- Native American/ Alaskan Native
- Prefer not to say
- Other
Ethnic Group:*
- Hispanic/ Latino
- NOT Hispanic/ Latino
- Prefer not to say
Do you identify as LGBTQ+?*
- Yes
- No
- Prefer not to say
Do you have access to reliable transportation?*
- Yes
- No
Are you a person with a disability?*
- Yes
- No
- Prefer not to say
If so, please let us know how we can accommodate or support your performance as a volunteer.
What school do you attend?*
Grade*
What is your anticipated graduation date?*

Have you ever been convicted of a crime other than a minor traffic citation?*
- Yes
- No
Such as ANY felony and/or misdemeanor crimes including assault, battery, domestic battery, theft, shoplifting, DUI/DWI, possession, criminal damage to property, trespassing, vandalism, etc.
Please provide details such as location, date, and type.*
A conviction may prohibit or limit you from volunteering.
Do you need court-ordered service?*
- Yes
- No
How many hours do you need?*
By when do you need to complete your hours?*
Please explain why you need court-ordered service hours.*

Your ability to volunteer through our office depends on why you were charged/ convicted.

PARENT/LEGAL GUARDIAN INFORMATION
Parent/Guardian Name(s)*
Email*
Phone*
Alternate Phone

YOUTH AGREEMENT
CSC Agrees:  To treat the Student Volunteer with respect.  To provide the Student Volunteer with appropriate duties that match his or her experience and interests when possible.  To provide orientation and training for the Student Volunteer as needed.  To recognize the efforts of the Student Volunteer and provide confirmation of service hours upon request.
Student Volunteer agrees:*
- To be on time and work all scheduled project hours OR notify CSC in advance if you cannot.
- To maintain a positive attitude and show respect to everyone at the project.
- To abstain from profanity, drugs, tobacco, alcohol, sexual activity, or violence of any form on projects.
- To keep all personal electronic devices off and out of sight during CSC activities.
By typing your name and dating, you are acknowledging that you have read and understand this agreement and verify that all information you have given is correct.*
Date
MM slash DD slash YYYY
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Flint Hills Volunteer Center

322 Houston St, Ste 104
Manhattan KS 66502
785-776-7787

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