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Volunteering
Online Volunteer Application
Application to Volunteer at the Urban Erie Community Development Corporation.
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Your Name
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First
Last
Permanent Address
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Permanent City
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Permanent State
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Permanent ZIP
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Mailing Address (if different then Permanent address)
Cell Phone:
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Home Phone:
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Email
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Date of Birth
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Best phone number to contact you?
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Cell Phone
Home Phone
Best way to contact you?
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Call
Text
Sex
Male
Female
Other
U.S. Citizen?
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Yes
No
Marital Status
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Single
Married
Divorced
Separated
Widowed
Best time of day to contact you
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Morning 8am-12pm
Afternoon 12pm - 5pm
Evening 5pm-8pm
Anytime
Are you over 18 years old?
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Yes
No
Is this required for community service?
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Yes
No
Will you receive school credit for volunteering?
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Yes
No
Emergency Contact Name
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First
Last
Relationship to Emergency Contact
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Emergency Contact Work Phone:
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Emergency Contact Cell Phone:
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Emergency Contact Home Phone:
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Did you go to high school in Erie?
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Yes
No
If yes, which high school did you attend?
If yes, did you graduate? If yes, what year did you graduate? If no, what was the last grade you completed?
Are you currently in college?
Yes
No
We ask college volunteers to commit to one afternoon a week for a semester.
If yes, which college are you enrolled?
If you are in college what is your major?
We ask college volunteers to commit to one or more afternoons a week for a semester. Please check the afternoon (after school program hours are 2:30 pm - 5:30 pm) that you would like to commit to.
Monday Afternoon
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Have you lived in Pennsylvania for at least ten (10) years?
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Yes
No
Skills and Experience: Please list skills you have that may be relevant.
Please list prior and current employment or volunteer experiences:
Do you have experience working with children?
Yes
No
Please indicate which activities you are most interested in.
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Tutoring (please list the subjects below)
Reading to children or helping children read
Arts and crafts activities
Helping children use the computer
Other ( please complete the what you are interested in volunteering to do below)
If you checked tutoring, please list subjects you could tutor.
If you checked Other, please state how you are interested in volunteering.
Single Line Text
Program goals are to create leaders, help children develop to their fullest potential, and to deliver programming in a positive environment of safety, support, and care. As a volunteer you agree to help further the programs goals, show up when expected, communicate with the staff when you are unable to, and behave in a professional manner.
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Yes
No
PHOTO RELEASE**: I hereby grant to Urban Erie Community Development Corporation (UECDC) permission to interview me and/or use my likeness in photograph(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by UECDC, in perpetuity, and for other use by UECDC. I will make no monetary or other claim against UECDC for the use of the interview and/or the photograph(s)/video.
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Yes
No
Message
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