Name	______________________________
Address	______________________________
City, State, ZIP Code	______________________________
Home Phone	______________________________
Homeroom	______________________________

Why do you want to volunteer?
     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

What skills would you like to learn while volunteering?
     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

List current skills/assets (typing, acting, sports, licensed driver, reading to the elderly, good communicator, filing, creating posters and other advertising materials, etc.)
     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

     ________________________________________________________

Schedule: (Check approximate time when you would be able to volunteer.)

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun

Morning
     ________________________________________________________

Afternoon
     ________________________________________________________

Evening
     ________________________________________________________

Youth In Action Bulletin

April 1998     Number 01