Volunteer Application

Welcome to the I Have a Dream Volunteer Application form 

Applications for Spring 2017 (Jan.-May) program volunteers are open only to Carbon Valley and Lafayette volunteers. All other interested applicants will be considered for Summer 2017 (June & July). **Please note mentor applications are accepted year round
 
**Due to the holidays, we will respond to your application after the New Year. Thank you for your interest in supporting our Dreamers!**


some fields accept more than one value, such as Volunteer Interest Areas
- on a PC, use the "ctrl" key to select more than one field
- on a Mac, use the Command key
Please use the tab key to move to the next field (enter will not work)

(Note to mentor applicants only: Conducting background checks for mentors costs us $50. We ask that mentors contribute $20 towards the background checks to help support the program. If you are unable to pay for your background check, assistance will be provided.)


Applicant Type:

















Home Phone (nnn-nnn-nnnn):

Work Phone (nnn-nnn-nnnn):



Volunteer Preferred Phone:





How did you hear about IHAD:

Referred By:

Date of Birth (mm/dd/yyyy):

Gender:

Ethnicity:

Work History (brief description):

Volunteer History(brief description):

Education:

Highest Level of Schooling:

Education - Major:

Spanish Fluency:

Volunteer Interest Areas (select all that apply):
(select multiple options with ctrl or command key)

Tutor Subject Interests (select all that apply):
(select multiple options with ctrl or command key)

Age of Students Interest:

Availability Days/Hours (indicate days and hours):

Hours Per Week:

U.S. Citizen:

Criminal History:

Child Abuse Investigation History:

Reference 1 Name:

Reference 1 Street:

Reference 1 City:

Reference 1 State:

Reference 1 Zip:

Reference 1 Home Phone:

Reference 1 Work Phone:

Reference 1 Email:

Reference 1 Relationship:

Reference 2 Name:

Reference 2 Street:

Reference 2 City:

Reference 2 State:

Reference 2 Zip:

Reference 2 Home Phone:

Reference 2 Work Phone:

Reference 2 Email:

Reference 2 Relationship:

Reference 3 Name:

Reference 3 Street:

Reference 3 City:

Reference 3 State:

Reference 3 Zip:

Reference 3 Home Phone:

Reference 3 Work Phone:

Reference 3 Email:

Reference 3 Relationship:

Cities you can work in:
(select multiple options with ctrl or command key)

Reliable Transportation:

Transport Youth in Your Car?:

Number of Passenger Seats with seatbelts:

Drivers License number:

Drivers License State:

Once you click the Submit button, your Volunteer Application will be sent to our Volunteer Coordinators and you will be redirected to our home page.

Thank you for submitting our application and a volunteer coordinator should contact you within 2-3 working days. (**While we typically respond within a few days of your application, due to the holidays we will respond to all applications submitted between now and Jan 4 after Jan 9. Thank you for your interest in supporting our Dreamers!**)