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Volunteer Interest Form
Thank you for your interest in volunteering at Xavier Jesuit Academy. Please take a moment to complete this form.
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First & Last Name
*
Your answer
Nickname
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Preferred email
*
Your answer
Preferred phone
*
Your answer
Preferred method of contact
Email
Phone
Either phone or email
Clear selection
Name of Employer or School (if applicable)
Your answer
How did you hear about Xavier Jesuit Academy?
from a current faculty/staff or board member
from a current/former volunteer
word of mouth
church/parish
website/social media
currently reside in the community
Other:
Clear selection
Why are you interested in volunteering (check all that apply)?
I want to give back.
I am retired and looking for something rewarding to do.
I have school-required community service hours to complete.
Other:
I am interested in the following volunteer opportunity (check all that apply):
Afternoon Tutor in a specific subject
Extracurricular activities (athletics, arts, robotics, community service, music, gardening, outdoor education, etc.)
General Homework Helper
Office Assistant (data entry, filing, stuffing mailings, etc.)
Event set-up and support
Friday Chapel or Reflection on Faith in Action
Lunch time and/or Recess Assistance
Campus clean-up
If interested in extra curricular activities, specify the area of interest and prior experience in that area:
Your answer
If selected for Afternoon Tutor or Homework Helper, what subjects do you feel most comfortable tutoring?
Language Arts (reading and grammar)
Math (multiplication, long division, fractions, decimals, percents)
Math (geometry, solving equations, graphing)
Science
History/Religion
When are you available to volunteer?
Weekday mornings
Weekday Lunchtime
Weekday Afternoons
Weekends Only
Tell us about your experience or familiarity working with middle school aged children and/or underserved communities.
Your answer
Have you ever been charged, accused, or convicted of child abuse, neglect, or sexual abuse?
*
Yes
No
Have you ever been charged, accused, or convicted of a felony?
*
Yes
No
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