Volunteer Application

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Our volunteer application is now online! Please complete the following information to become a volunteer with A Child's Place!

Please note that volunteers having direct client interaction must be 18 years old. All ACP volunteers must register on the Charlotte-Mecklenburg Schools volunteer page for background checks and screening. The website is www.cms.k12.nc.us. Volunteers will not be processed until this step is completed.

Name

Date of Birth

Email Address

Cell/Home Phone

Work Phone

Address

City

Apt #

State

Zip Code

Place of Employment

School or University

Name of Church or Synagogue

Do you prefer to work directly with the children?

Yes

Either

Please check position(s) you are applying for:

Tutor	Lunch Buddy	Classroom Assistant
Snack Provider

Other Volunteer Opportunity:

Please indicate the location(s) where you wish to work:

Walter G. Byers	Barringer	Billingsville
Winterfield	Bruns Ave	Druid Hills
Hidden Valley	Thomasboro

Please list location if not listed:

Emergency contact name

Emergency contact phone number

I acknowledge that I am a registered volunteer with Charlotte-Mecklenburg Schools.

Yes

To help us avoid computer generated inquiries and spam, please enter the letters and numbers exactly as you see them in the box below.

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PO Box 33302 Charlotte, NC 28233 Phone: 704-343-3790 Fax: 704-343-3791 info@achildsplace.org