King’s Grant Volunteer Application Please complete this application form if you are interested in becoming a King's Grant volunteer. Once you complete the form, click the submit button at the bottom.Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone*Work Phone*Email* TypeJr. VolunteerStudentStudent InternResidentStaffCommunity ServiceCourt-Appointed CommunityCourt-Appointed Student*Please note that if your volunteer service is court-appointed, you will need prior approval. Please call 276.634.1135 for more details.AvailabilityPlease indicate the days and times you would be available to volunteerMorning Sunday Monday Tuesday Wednesday Thursday Friday Saturday Afternoon Sunday Monday Tuesday Wednesday Thursday Friday Saturday Evening Sunday Monday Tuesday Wednesday Thursday Friday Saturday Email Preferences:We like to keep volunteers informed of important news, schedules and volunteer opportunities by email; however, we will not send you any email you prefer not to receive. Use the check boxes below to select the kinds of email you would like to receive from us.What kind of email would you like to receive? Electronic Newsletters Recruitment Appeals Schedule Reminders Hour and Time Completion RequirementsThis section helps to inform us if you have a set number of hours needed to complete and when they need to be completed byI would like to serve up toHoursDailyWeeklyMonthlyOne TimeDateAvailable to begin DateCompleted by Demographic InformationYou may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleReferences:Please indicate two references. **For STUDENTS ONLY - Please list the teacher and/or court-appointed contact as the first reference. The second reference should be of personal nature.Name* First Last Phone*Relationship*Name* First Last Phone*Relationship*
