Volunteer Application Form

Address

Phone Number

Area Code Phone Number
E-mail
Current School
Grade Entering After Summer
School Entering After Summer
List exact dates you're available this summer
Describe all previous experience that you have had with children ages 2-5. Specify; the role that you played, the ages of the children, and how often you helped care for them.
Share any skills, talents, and certifications you have that could be utilized in our camp.
Emergency Contact Info:
Mother's Name
First Name Last Name
Mother's Cell Number*

Area Code Phone Number
Mother's E-mail
Father's Name
First Name Last Name
Father's Cell Number*

Area Code Phone Number
Marital Status of Parents
Emergency Contact Person* (if parents cannot be reached)*
First Name Last Name
Relationship to Volunteer*
Phone Number of Emergency Contact*

Area Code Phone Number
In the event of an emergency, I give permission to Solon Chabad to transport my child/ren* to the nearest hospital. I give my consent for emergency medical treatment to be used if necessary.
Child's First Name Child's Last Name
Signature
Date

Month Day Year
Should be Empty:

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Solon Chabad Preschool Volunteer Application Form