D I Y C
D.I.Y.C organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our techniques, we strongly invite you to complete this application. The information obtained on this document will be kept confidential and will help us find the most fitting volunteer opportunity that suits you.
There are a few diverse volunteer opportunities to select from:
Clerical - You can help with office tasks such as, making copies, making phone calls, filing, etc.
Events- Chaperone during doctor visits, outings, extra activities, etc.
Mentoring - This position has a positive and beneficial reward for both participants. The goal is to develop leadership, positive role models and it shows that someone cares.
Tutoring - Is a positive reinforcement to help youth set realistic expectations for themselves. Individuals will have the opportunity to learn at their own pace and breakdown assignments in smaller parts. Fostering independence, critical thinking, and minimizing self-defeat is the main key to their learning development.
Counseling - The position is rewarding because it helps youth overcome their challenges and improve problem solving. Helping youth with emotional, mental, physical, behavioral, and substance abuse will improve their overall well-being.
Volunteer Information:
Name: (First and Last) ______________________________________Female ☐ Male ☐
Address: _______________________________________________________________________
City: __________________________________ ST______________ Zip _____________________
Phone: ________________________________ Email: ___________________________________
Employer: ___________________________________Position: _____________________________
Preferred method of communication:
☐ Cell
☐Home
☐Work
☐ Other (please specify) _____________________________________________________________
Any distinctive abilities or skills you have that you feel would benefit our organization?
______________________________________________________________________________
______________________________________________________________________________
Please indicate days and times available: MON TUES WED THURS FRI SAT SUN
☐ ☐ ☐ ☐ ☐ ☐ ☐
Times Available: From________________________ To: ___________________________________
Any Physical Limitations? ___________________________________________________________
In a case of emergency contact: _______________________________________________________
Thank you for your interest in Diversified Inspirational Youth Center. Without our volunteers our programs would not be possible.
Whatever opportunity you choose to volunteer for please know that you are making a vast change in the lives of our children and families
Signature_________________________________________Date:__________________________