Summit Square Volunteer Application

  • Please complete this application form if you are interested in becoming a Summit Square volunteer. Once you complete the form, click the submit button at the bottom.
  • *Please note that if your volunteer service is court-appointed, you will need prior approval. Please call 540.941.3119 for more details.
  • Availability

    Please indicate the days and times you would be available to volunteer
  • 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.
  • Hour and Time Completion Requirements

    This section helps to inform us if you have a set number of hours needed to complete and when they need to be completed by
  • Available to begin
  • To be completed by
  • Demographic Information

    You 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.
  • References:

    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.


Toll Free: (800) 237-2257

Kings Grant

Toll Free: (800) 462-4649

Summit Square

Toll Free: (800) 586-5499