Volunteer Application Step 1 of 4 25% Applicant InformationName* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Gender*Pick OneMaleFemaleBirth Date* MM slash DD slash YYYY Home or Cell Phone?*Pick OneHomeCellPhone* Emergency Contact InformationName* First Last Phone* How did you find out about Twin Falls Optimist Youth House?*(If you were referred, please mention by whom.)Why are you interested in volunteering at the Twin Falls Optimist Youth House?*Would you agree to have us check your name through the federal and state criminal records of child abuse and neglect proceedings?* Yes No Answering no will disqualify applicant from consideration. Please list two people who can serve as a reference for you.Reference 1 Name* Relationship* Phone*Reference 2 Name* Relationship* Phone*Typed Full Name* Signature* Reset signature Signature locked. Reset to sign again
