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UNDER 18 - VOLUNTEER APPLICATION First Name

Last Name

Date of Birth

Street Address (include apartment or suite #) ( ) Home Phone

-

Heart of Los Angeles/HOLA 2701 Wilshire Blvd. #100, Los Angeles 90057 Noreen Lindell. Volunteer Coordinator (213) 389-1148 ext. 247 - Fax: (213) 389-1085

Today's Date

City

( ) Cell Phone

Zip Code

E-mail Address(es)

Would you like to receive updates about HOLA needs and volunteer opportunities?

Yes

No

Other than English, what language(s) do you speak? School that you are attending

Grade

References: List one adult non-relative (teacher, neighbor, etc.) Name:

Phone: (

)

-

E-Mail:

How did you hear about HOLA? I would like to volunteer:

From Starting Date

Quarter:

Winter

Spring

Summer

Fall

Days:

Monday

Tuesday

Wednesday

Thursday

AM or PM

to

:

Year:

In the following area(s) - (You may circle more than one): Academic Support

:

AM or PM

Ending Date

Athletics

All Quarters

Friday

Saturday

Sunday

Other: Arts

Special Programs

Special Projects

Class Instructor

Basketball Coach

Art Class Assistant

Field Trips

Development

Class Instructor Assistant

Physical Education

Dance

Go Girl Go

Day of Service

Computer Instructor

Soccer Coach

Drawing or Painting

Historian

Fundraising

Homework Aide/Tutoring

Tennis

Library Organizer

One Day Instructor/Speaker

Special Events

Music

Camp Counselor

Department (You may check more than one): ROPE/High School

Athletics

Soccer

SmartStart/Elementary Administration

BRIDGES Morning/MS

Development

Counseling

BRIDGES Afternoon/MS Special Events

Art

Computers

Why are you interested in volunteering at HOLA? Attain units/credits

Help the community

Like working with kids

My parents would like to become Donors

Internship

Become a mentor

Enjoy being part of HOLA

Other:

Parent/Guardian Consent: I give my consent for

to work as a volunteer for HOLA.

Parent's Name:

( ) Home Phone

-

( ) Cell Phone

-

Thank you for your interest in volunteering at HOLA/LaFayette Park: Applicant's Signature

FORM UPDATED: July 17, 2009 OFFICE USE ONLY: E-Tapestry

Volunteer Coordinator Initials: DB Info

DB History

Today's Date: Outlook Contacts

Applicant Accepted

Agreement Received

References checked

Copy of ID


Under 18 HOLA Volunteer Application  

Under 18 HOLA Volunteer Application

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