SOLFul Teen Leadership Cohort Application Thank you for your interest in volunteering this summer at SOLFul OC United! Volunteers play a vital role in our programs. All volunteer applications are reviewed with consideration of our currently available volunteer opportunities. The information you provide will be stored in confidence under the provisions of the Data Protection Act. Your completed form will be held securely and confidentially. Only authorized staff will have access to your information. Step 1 of 6 16% CONTACT INFOName* First Last Email* Phone Number*Birth Date* MM DD YYYY Gender*MaleFemaleCan we add you to our OC United email list?*YesNoAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What grade will you be in this fall?*9th Grade10th Grade11th Grade12th GradeWhich High School do you attend?*Languages Spoken* English Spanish Other Are you CPR/First-Aid/AED Certified?*YesNoI don't knowT-Shirt Size (Unisex Shirts Only)*SmallMediumLargeX-Large2X-Large EMERGENCY CONTACT INFOName* First Last Phone*Email Relationship to you* QUESTIONSHow did you find out about OC United?*Why are you interested in being a part of the SOLFul Leadership Cohort?*What positions of leadership have you held before?*Give two examples of how you demonstrate leadership in your day to day life.*What do you like to do in your free time? (i.e., hobbies, extra-curricular activites, sports, etc.)*What are your top 3 strengths?*What is one area of weakness that you would like to grow in?*Describe three attributes of a team player.* SCHEDULING INFORMATIONLocation: Valencia Park Elementary (3441 W Valencia Dr. Fullerton, CA 92832) Required Dates: June 7th - July 4rd Days: Option #1 (Monday / Wednesday) or Option #2 (Tuesday, Thursday) Times: 8:15am - 2:00pmSchedule Options*Option #1 (Monday / Wednesday from 8:15am-2pm)Option #2 (Tuesday / Thursday from 8:15am-2pm)EITHER option works for me!BOTH options work for me!Choose a volunteer orientation time*Saturday, June 1st from 9am - 11am (for Junior High and High School Volunteers only)I am unable to attend the above datePlease specify any scheduling conflicts or questions you might have regarding scheduling.Additional questions can be directed to firstname.lastname@example.org or email@example.com REFERENCESReference #1Name* First Last Phone*Email* Relationship*Reference #2Name* First Last Phone*Email* Relationship*Reference #3Name* First Last Phone*Email* Relationship* CONCLUSIONHave you ever been convicted of the use or sale of illegal drugs or substances?*(If yes, please provide details in notes section below)YesNoDo you use illegal drugs or controlled substances?*(If yes, please provide details in notes section below)YesNoHave you been convicted of sexual abuse related crimes?*(If yes, please provide details in notes section below)YesNoHave you ever allowed or encouraged a minor to participate in illegal or immoral activities?*(If yes, please provide details in notes section below)YesNoIs there anything in your past that would call into question your ability to work with children?*(If yes, please provide details in notes section below)YesNoDo you have any impairements, disabilities, or medical conditions / limitations that would interfere with you performing volunteer work?*(If yes, please provide details in notes section below)YesNoIs there any additional information that OC United should know about you?*(If yes, please provide details in the notes section provided below.)YesNoIf you answered "Yes" to any of the above questions, please explain:CONTRACTI declare that the information I have provided is true. I agree to abide by the volunteer expectations and training of OC United.Name First Middle Last Date Date Format: MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.