Please complete the application below in its entirety. Do not hit submit until all information is completed. Applicants must be 18 years or older to volunteer with Journey to Dream. 

Name *
Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
Employment
Date of Hire *
Date of Hire
This job is: *
Select the last education level completed *
PERSONAL HISTORY
We believe that it is our responsibility to seek adult staff/volunteers that will provide a healthy, safe, and nurturing environment for our students. Please answer the questions below honestly. Leaving a question blank won’t disqualify you from serving, but our hope is that we can be as transparent as possible with each other in working toward our mission.
Have you ever been convicted of or pled guilty to a crime? *
Do you smoke cigarettes, pipes, cigars, or chew tobacco? *
Are you using illegal drugs? *
Have you been ticketed for driving under the influence? *
Has there been alcohol, drug, physical or sexual abuse in your family background? *
Have you ever been treated for a psychiatric disorder? *
Is there any circumstance or pattern in your life which would make it inappropriate to work with minors or would compromise the integrity of Journey to Dream? *
PERSONAL REFERENCES
Please provide three personal references. References may not be a member of your family.
Reference #1 *
Reference #1
Reference #1's Phone Number *
Reference #1's Phone Number
Reference #2 *
Reference #2
Reference #2's Phone Number *
Reference #2's Phone Number
Reference #3 *
Reference #3
Reference #3's Phone Number *
Reference #3's Phone Number
By signing below I, the undersigned, give my permission to Journey to Dream and its representatives to release all records or information pertaining to the Volunteer Application. I give permission for Journey to Dream to contact references as necessary in order to verify my suitability to work in an environment with youth. I understand that the personal information will be held confidential by Journey to Dream. To the best of my knowledge, everything included in the Volunteer Application is correct and accurate.