Youth Volunteer Application

Emergency Contact Information

Professional References

(Two individuals who can speak to your character, reputation, and work experience)

Reference #2

All students volunteering at Episcopal SeniorLife Communities will need to attend a facility orientation, provide proof of immunity to measles, mumps, and rubella and receive a tuberculin skin test (which we will provide on site, free of charge) prior to beginning your volunteer experience

Please sign this application by typing your name below.

Parent Signature:

I give permission to my son or daughter: permission to volunteer at ECH and to receive a health assessment as well as a Tuberculin Skin Test.*