The Living Wells Community & Development Center
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Youth Volunteer Application
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Youth Participant Name (under 18)
*
First
Last
Date of Birth
*
School Name
*
Grade Level
*
Areas of Interest (Recommended)
*
Mentorship or peer support
Youth programs or activities
Community events
Administrative or behind-the-scenes support
Creative or enrichment activities
Outreach or engagement
Other please describe
What are you interested in learning or helping with as a volunteer
*
supervised and you
Availability (select all that apply)
*
Weekdays after school
Weekday evenings
Weekends
School breaks or summer
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone Number
*
Parent/Guardian Email Address
*
Email
Confirm Email
By submitting this form, I give permission for my child to participate in volunteer activities with Living Wells Community & Development Center. I understand that my child will be supervised and that participation is voluntary. I acknowledge and agree to the program guidelines and expectations.
*
A typed name acts as an electronic signature.
Submit Youth Volunteer Application
