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Distinctive Schools Volunteer Application – PEC
This form is used for people who wish to volunteer time at a Distinctive Schools campus. All requests must be made at a minimum of 3 days in advance . Please read the Distinctive Schools Volunteer Agreement (at the bottom of the page:
https://www.plymouthed.org/volunteer.html
).
Thank you so much for your support and partnership. We are eager to work with you.
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity
*
African American / Black
Asian
Caucasian / White
Hispanic / Latino
Maori
Middle Eastern
Native American
Pacific Islander
Southeast Asian
N / A
Other:
Gender
*
Female
Male
Prefer not to say
Home Address (include zip code)
*
Your answer
Cell Phone
*
Your answer
Home Phone
Your answer
Work Phone
Your answer
Are you a current Distinctive Schools employee?
*
Yes
No
Type of Volunteer
*
Athletic Coach
Elementary Sports
Community / Organization Member
Corporate / Professional Volunteer
Field Experience
Nurse
Parent / Guardian Volunteer
Researcher
Student Teacher
College / Grad Student
CPS Score Program
High School Student
Other:
In which areas are you interested in volunteering?
*
Administrative Support
After School Programs
Cafeteria/Playground/Hallway
Career Activity
Chaperone
Classroom Support
Competition Judge
Corporate/Professional Volunteer
Fine Arts
Fundraising
Mentoring
Sports
Student Clubs
Technology Support
Tutoring
Visual Arts
Other:
Required
Are you volunteering for a specific day/overnight trip or school club?
*
Yes
No
If you answered "Yes" to the previous question, describe the event or club for which you would like to volunteer.
*
Your answer
Languages Spoken
*
English
Spanish
French
Korean
German
Polish
Other:
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Education Level
Primary
Secondary/GED
Some College/University
College/University Degree
Clear selection
At which school would you like to volunteer?
CICS Bucktown
CICS Irving Park
CICS Prairie
CICS West Belden
DCP Harper Woods
DCP Redford
Plymouth Educational Center
River Heights Academy
Clear selection
Were you referred by someone to volunteer at this campus?
*
Yes
No
If you were referred by someone, please list their name, position, and relationship to you
Your answer
How often would you like to volunteer?
Your answer
What day would you like to come in?
MM
/
DD
/
YYYY
What time would you like to arrive?
Time
:
AM
PM
What time would you like to leave?
Time
:
AM
PM
What grade level would you like to assist?
*
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Required
Is there a specific staff member you would like to assist? (We will do our best, but cannot guarantee a match.)
Your answer
Are you a relative of a student that currently attends a Distinctive School campus?
*
Yes
No
If you answered yes above, what is the name the Distinctive Schools' student to whom you are related?
Your answer
You have read the Distinctive Schools Volunteer Agreement and agree to the terms.
*
yes
no
Required
A copy of your responses will be emailed to the address you provided.
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