Kaleidoscope Place Volunteer Registration

Volunteer Registration

After reviewing Kaleidoscope Place’s mission, programs, and volunteer opportunities, if you would like to volunteer here, please complete the following Volunteer Registration form. Your answers to these questions will help Kaleidoscope determine the best position for you within our programs. We will keep your information confidential. Please be thorough. Partial submissions will be discarded. Thank you for your interest in volunteering at Kaleidoscope Place!

Full Name(required)
Street Address(required)
City, State Zip(required)
Home / Cell Phone(required)
Work Phone
Email Address(valid email required)
Would you like to stay connected to us by receiving our bi-monthly email newsletter?
Yes No
Birthday(required)
Emergency Contact(required)
Education - High School: # of years attended?
Education - College: # of years attended and Major?
Are you currently employed? If so, where?(required)
Are you currently a student? If so, where?(required)
Are you fulfilling a service learning requirement? If so, for what class?(required)
Why are you interested in volunteering with this program?(required)
Please describe your previous work experience. (Field, responsibilities, where)(required)
Please indicate any special skills, training, interests, or hobbies.(required)
Have you volunteered before? If so, please describe.(required)
What kinds of volunteer work interests you most? (Check all that apply.)
Greeting children and serving snack Assisting teachers in class Tutoring 1-on-1 Helping supervise and playing with children during free time Special event planning for children Sharing a special skill with children No preference
Time you have available for volunteer work:
Regularly, each week? If yes, hours per week?(required)
Preferred days and hours(required)
Length of time you will be available(required)
Semesters you will volunteer (Check all that apply)
Fall Semester Winter/Spring Semester Summer
Would you like to be called to fill in when other volunteers are absent?
Yes No
Where did you learn about the opportunities available at Kaleidoscope?(required)
By typing my name and submitting this form, I acknowledge that the information above is full and correct to the best of my knowledge. I also give permission to Kaleidoscope Place to perform a background check, which is required to be working with students.
Name and Date(required)
Type the verification code