Advanced Teen Volunteer (Orange Lanyard) Application

TeenAppOrangeLanyard Entry

Advanced Teen Volunteer (Orange Lanyard) Application

First Name

Last Name

Email (May use parent's email)

Phone (May use parent's phone)

Birth Date

/ /

Gender

Address

Parent/Guardian Name(s)

Parent/Guardian Phone Number

Parent/Guardian Email

I have notified my Parent/Guardian of the following:

I am applying to volunteer with SBKids My photo will be taken for the database and my Teen Volunteer badge

Emergency Contact Name & Phone

How long have you been attending SouthBrook?

Please list one SBKids Adult Volunteer we may contact as a reference.

Please upload a headshot photo of yourself for our database and to use on your Volunteer Badge

Upload

Application Statement

I hereby authorize SouthBrook to verify all information contained in this application. Should my application be accepted, I agree to follow the policies and practices of SouthBrook when representing SouthBrook as a volunteer, including the additional responsibilities included as a part of the Advanced Teen Volunteer (Orange Lanyard) role. I understand that this personal information will be held confidential by SouthBrook.

I have read and agree to the Applicant Statement

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