Volunteer Application

Date of Training You Attended/Will Attend
I have registered at a Wake County Public School to become a volunteer.
Applicant's Full Name
Gender

Male

Female

Date of Birth
Home Phone
Address
City
State
Zip
Place of Employment
Work Phone
Work Address
Work City
E-mail Address
Fax
*Preferred Volunteer Location:
Do you speak a second language? If yes, what language?
Where did you find out about this opportunity?
Please provide the names and addresses of two references, including your current supervisor/manager, if applicable. Please do not list relatives.
Name
Phone
Name
Phone
In case of an emergency during your volunteer service, please list an emergency contact.
Name
Relationship
Phone Number
Confidentiality is essential. As a volunteer tutor/mentor, sensitive information may be shared with you, either by the student or by other professionals at the school. It is very important that the sensitive information not be shared with others, unless it is information that should be shared with the administration at the school. For example, it will not be viewed as a breach of confidentiality to discuss life threatening or health situations involving your student with the administration at the school. In fact, the information must be reported, and this procedure is consistent with North Carolina General Statutes.
As a volunteer tutor/mentor, I promise not to share any confidential information about my student, or about his/her family, with other individuals outside of the administration at the school.
Name
Date

Resources

Fall Orientation calendar [pdf]