Project Shine Volunteer Application Form
*
Indicates a required field.
Home
»
Volunteer
Date
Date:
*
Personal Information
First Name:
*
Last Name:
*
Address 1:
*
Address 2:
City:
*
State:
*
AR
IA
IL
KS
KY
MO
NE
OK
Zip Code:
*
Contact Information
Home Phone:
*
Cell Phone:
Email:
*
Emergency Contact:
*
Relationship:
Contact Number:
*
Group Information
Are you submitting this application as part of a group?
(i.e. alumni class, church, employee group, or social club)
Group:
*
Yes
No
Group Name:
Specific Abilities
Do you have any specific construction or maintenance experience?
Skills:
Yes
No
If yes: please list:
Tools & Materials
Do you have access to special tools or donated materials or supplies?
Materials:
Yes
No
If yes: please list:
Special Accommodations:
Do you need any special accommodations to volunteer?
Accommodations Needed?
Yes
No
Accommodations Necessary:
Volunteer Preferences
Please advise if you have a school or leadership preference.
School Preference:
No Preference
Truman High School
Glendale Elementary
Luff Elementary
Ott Elementary
Randall Elementary
Team Position:
No Preference
Team Leader
Alternate Team Leader
Volunteer
Volunteer Opportunities
Are you interested in further volunteer opportunities beyond Project Shine?
If yes, please select the program from the drop below.
Further Interest:
Yes
No
Program:
No Interest
Facility Friends
Helping Hands
Youth Friends
Contact Us
COMMENTS? QUESTIONS? CONCERNS?
Pleae call the Project Shine Hotline at 816–521–5502 or email us at
projectshineinfo@indep.k12.mo.us