Kids Hope Returning Volunteers

"*" indicates required fields

Today's Date*

Name*

First Middle Last

Cell Phone*

Home Phone

Email*

Address*

Street Address Address Line 2 City State ZIP Code

If you have lived at your current address less than seven years, provide information on all addresses during that period. (Needed for Criminal History Check)

Birth Date*

Drivers License #*

List all other names by which you have ever been known.

LAUSD requires proof of your Covid-19 vaccination:*

Length of membership/attendance at CA*

T-Shirt Size*

Are you 18 years of age or older?*

Social Security #*

PLEASE NOTE WE NEED THIS INFORMATION TO COMPLETE YOUR BACKGROUND CHECK. WE WILL NOT SHARE THIS INFORMATION.

Emergency Contact Name*

First Last

Emergency Contact Phone*

Please indicate for what role you would like to volunteer.*

Weekly Mentor Options*

Please indicate the days and times you are available to give one hour

Suggested Prayer Partner Name

First Last

Suggested Prayer Partner Email

Suggested Prayer Partner Phone

Initials*