Contact InformationName* First Last Mobile Phone*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City 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 State ZIP Code EducationAre you CPR Certified?* Yes No Reason for Volunteering*Course/School CreditTo help boost my resume/CVTo ultimately become an Instructor when I qualifyOtherSelect the best choice as it pertains to youAdditional informationWhy would you make a great Instructor/Junior Instructor?*What is your experience working with children?*Employment HistoryDo you have previous work experience?* Yes No AvailabilityDo you have your own reliable transportation?* Yes No Available Days to Volunteer* Monday Tuesday Wednesday Thursday Friday Saturday Sunday You are not committing to a schedule at this timeGeneral Available Times to Volunteer* During school hours (9a-3p) After school (3p-5p) Evenings (5p-8p) Weekends You are not committing to a schedule at this time.Child SafetyWill you be able to pass a thorough background check?* Yes No Not sure Please explainHow did you hear about this opportunity?*If you were referred by someone, please list them here.Resume/CV (optional)Max. file size: 5 MB.CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ