_____________________ Student Name ______________ Date _________________ Phone Reason for volunteering (class or club requirement, personal interest, etc.) ___________________________________________________________ Please describe experience you’ve had working or volunteering with children Include ages, group sizes, type of work (in a center or in a home) etc. Also, please add if you have a preference for which age group(s) you would like to volunteer with-we have infants, younger and older toddlers, and preschool age children. Also, please note if there are specific things you are looking to get experience in/learn about, and also if you have any special needs we will need to accommodate. Thank you _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Available times and days to volunteer: ______________________________________________________________________ _____________________________________________________________________