FreeRiders' Volunteer Application
FreeRiders Community And Youth Outreach Service
The FreeRiders Community And Youth Outreach Service mission is to have volunteers,from diverse ethnic and socio-economic backgrounds and actively
involve them in community solving through structural volunteer service.
Name:_____________________________Date:____________________Age:_______
Address:_____________________________Birthdate:__________________________
Phone:_______________________________School:_____________________________
Grade:__________________Year Graduating:____________
Guidance Counselor:___________________________
Volunteering Experience:___________________________________________________
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Work Experience:___________________________________________________________
___________________________________________________________________________
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Hobbies/Interests:_________________________________________________________
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Reason For Volunteering:_______SELF_______SCHOOL_______CLASS_______Friend_____
_____CHURCH______OTHER:_____________________________________________________
How did you learn about the FreeRiders Community And Youth Outreach Service,
:__________________________________________________________________________
Father/Guardian's Name:____________________________________________________
Place of Employment:________________________________________________________
Mother/Guardian's Name:_____________________________________________________
Place of Employment:________________________________________________________
In Case of Emergency, Physician's Name and Phone#:__________________________
____________________________________________________________________________
Name and Address of Person to contact if unable to reach Parents:___________
____________________________________________________________________________
My son/daughter has my permission to participate in the activities of the
FreeRiders Community And Youth Outreach Service volunteer program.
Signature of Parent or Guardian:____________________________________________
Date:_____________________
Photograph/Information Release
I hereby authorize the FreeRiders Community And Youth Outreach Service to use
my photograph in conjunction with my name for reproduction for the sole purpose of advertising,display,or editorial use.
Signature of Volunteer: ______________________________________
Date:____________________________
Signature of Parent:___________________________________________
Date:_____________________________
Print This Application Form Out And E-Mail It To FreeAlly2@aol.com.We are in need of funding . We will update this site shorthly. Thank You.
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Email: FreeAlly2@aol.com.
