Volunteer Your Time WHEELpassion Inc. is a not-for-profit organization. In an effort to keep program fees at a reasonable rate, volunteerism is encouraged at WHEELpassion Inc. There are several ways in which one can make a difference: Volunteer to assist with special programs Volunteer to Mentor Volunteer to help facilitate field trips Volunteer to provide administrative support or to serve on an advisory committee Volunteer Information First Name (required) Last Name (required) Age (required) Address (required) City (required) State required) Zip (required) Phone Number (required) Your Email (required) How did you hear about WHEELpassion, Inc? Volunteer Interests Interest Inventory (Please check all that apply) Creative Writing Fundraising Activities Languages Leading Recreational Activities Mentoring Tutoring Special Events Field Trip Chaperone Computer Instruction Science, Technology, Engineering and Math (STEM) Volunteer Availability Date you can start Hours of availability (check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Total Available Hours hours per month Time Commitment (check all that apply) One Time Summer Only School Year Other Experience Relevant Experience Current Occupation Level of Education References Primary Reference Full Name (required) Relationship (required) Phone Number (required) Email (required) Secondary Reference Full Name (required) Relationship (required) Phone Number (required) Email (required) Volunteer Application Agreement I agree that in the course of considering my application, you may inquire me to verify information considering my background, including my educational, criminal, and employment histories. I authorize educational institutions and references to give you any and all information concerning my education, employment and suitability to work with young people. I further agree to release and hold harmless WHEELpassion references and law enforcement from all liability and any damage that may result from releasing this information to you and/or volunteering on behalf of WHEELpassion. I understand that photographs/video tapes may be made of my volunteer activities. I fully authorize WHEELpassion without limitation, to copy, publish, and distribute such photographs/video tapes. I waive all claims I may have against your organization and/or its agents, subsidiaries, or assignees related to the above photos/video tapes. Your Full Name Today's Date By entering your full name and date into the fields above, you are signing the volunteer application agreement.