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Site Based High School Volunteer Application

Non-Discrimination Policy

Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability.

Hidden Fields

Contact ID 18 Character

Enrollment ID 18 Character

Contact Owner ID

Contact Owner Email

Basic Information

First Name

Last Name

Preferred Name

Birthdate

Gender

How do you identify?

Personal Pronouns

What pronouns do you use?

Race/Ethnicity

Current High School

School Account ID (mapped to School in connector)

Contact Information

Personal Email

Mobile Phone

Home Address

Street Address

City

State

Zip Code

Parent/Guardian Contact Information

Name: First

Last

Phone

Parent/Guardian Email

Which high school program are you applying for?

Virtual High School (VHS)Northfield Mount Herman (NMH)Deerfield Academy

Do you feel you can truly commit to one full year of mentoring a child on an average weekly basis?

YesNo

Do you feel you can be comfortable connecting with a child virtually and online?

YesNo

When we contact your parent/guardian will they give us permission for you to participate in this program?

YesNoMaybe

**In addition to this application, our volunteer assessment process includes an individual interview and group training. All elements of your application will be kept confidential, except for basic information such as your age and interests, which will be shared with the parent/guardian of a child who is being considered for a match with you. Please note: every match is based primarily upon the needs of the child. We cannot guarantee that everyone who applies will be matched.**

By checking this box you agree that you have read and understood the above information.

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Contact Information