T3 Triple Threat Youth Mentors Volunteer Application
Date
-
Month
-
Day
Year
Date Picker Icon
I am volunteering as:
*
An individual
A member of an organization/company
Individual Full Name
First Name
Last Name
Organization/Company Name
Organization/Company Contact
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
Contact Phone Ex.
E-mail
*
Gender
*
Male
Female
Age
Current Volunteer Opportunities
Performing Arts Coach (Voice, Dance, Acting, Piano/ Keyboard)
Academic Support
Marketing Support
Fundraising Support
Administartion
Stage Management, Backstage Support, (make-up, costumes, stage hands)
Other
Interest and Special Skills (check all that apply)
Performing Arts Coach (Voice, Dance, Acting, Piano/ Keyboard)
Academic Support
Marketing Support
Fundraising Support
Administartion
Stage Management, Backstage Support, (make-up, costumes, stage hands)
Health & Self Esteem
Sports & Fitness
Art & Culture
Leadership Development
Technology
Web/ Graphic Design
Photography / Media Arts
Events/ Program Coordinations
Other
( If student) Name of high school or collage
Emergency Contacts
*
Name
Street Address Line 2
Relationship
Phone
Postal / Zip Code
Emergency Contacts
Name
Street Address Line 2
Relationship
Phone
Postal / Zip Code
How did you learn about T3 Volunteer opportunities?
*
Do you have any experience working with children or volunteering? If so please briefly explain.
*
Language(s) Spoken
*
English
spanish
Other
Occupation
What type of transportation do you use?
*
To volunteers interested in instructing classes. The majority of our programs are held on Saturday's 11am-4pm.
*
I'm available to teach Dance 11am-12:30pm
I'm available to teach Voice 12:30am- 1:30pm
I'm available to teach Acting 1:30pm-3:30pm
I'm available to teach or assist as needed 11am-3:00pm
Volunteers interested in helping through administrative or other duties. Please indicate your commitment availability.
*
1-5 hours a week
5-10 hours a week
10-15 hours a week
Other
Are there any physical limitations or are you under any course of treatment which might limit your ability to preform certain types of work?
*
Employment Reference
Current or past employer
Street Address Line 2
Supervisor
Phone
Character Reference
*
Name
Street Address Line 2
How many years known
Phone
Character Reference
Name
Street Address Line 2
How many years known
Phone
Do you have any current misdemeanors?
*
No
Yes
Convicted of a felony?
*
No
Yes
I certify that all the answers on the application and any attachments are true and complete to the best of my knowledge. I also certify that I have not withheld any pertinent information.
*
By clicking here you agree
By clicking here you are adding your signature and date to this agreement
I agree in the course of considering my application, you may inquire to verify information considering my background
*
By clicking here you agree
By clicking here you are adding your signature and date to this agreement
I agree that T3 Triple Threat Youth Mentors (T3) shall not be responsible for any personal injuries or losses sustained by me while on (T3’s) facilities/ premises or as a result of any agency sponsored activities.
*
By clicking here you agree
By clicking here you are adding your signature and date to this agreement
All volunteer applicants 18 and older working directly with students must pass a background check through the City of San Diego.
*
By clicking here you agree
Submit
Should be Empty: