Volunteer Application
Motivate Our Minds has various volunteering opportunities during the school year. Volunteers work first hand with students in the classroom & around the MOM facility. Fill out the form below if you are interested in volunteering with us!
Thank you!
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Email *
Name *
Address *
City, State, Zip *
Email *
Phone # *
Special Skills & Interests *
Previous Volunteer Experience *
Have you volunteered at MOMs in the past? When? *
What times are you available?
2:00-3:30
3:30-4:30
4:30-5:30
Monday
Tuesday
Wednesday
Thursday
Friday
CONFIDENTIALITY STATEMENT:
All information pertaining to MOM staff, volunteers, students, and families shall remain confidential. By initialing this, I understand my full committment.
*
By signing this application, I testify that everything is accurate to the best of my knowledge. I understand that my participation as a volunteer at MOM is done so at my own risk, and assume responsibility for any and all personal injuries or property damage that may result during the time I volunteer with MOMs.  I agree to hold MOM harmless for any resulting damages, and hereby release MOM from any claims, actions, causes, demands, costs, loss of service, expenses, and compensation which may accrue in any way from injuries or property damage arising from my participation as a volunteer for Motivate Our Minds, Inc. *
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If you are under the age of 18, please have parent sign their permission below:
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