Lift Eastbrook Afterschool

First and Last Name *

Address (campus address if a student) *

Phone *

Date of Birth *

MM

/

DD

/

YYYY

Why do you want to volunteer with Lift? *

Check all that apply *

I have completed the application process https://www.uplandcc.org/childrens-programs/safeplace-training/ (Choose New Adult Volunteer)

I am ready to attend a training session (application must be complete)

I would like to talk with the Director to find out more about volunteering before I apply

Other:

Required