Volunteer Application : NEST Community Learning Center

*Your name

*Your email

*Phone

*Address

*City

*State

*Zip code

*Emergency Contact name and phone:

*Allergy or Medical Information

*Are you currently in high school? If so, what grade?

What skills do you bring to NEST CLC (i.e., training, skills, background, experience, etc.)?

Please list the subjects you can teach:

If you are 18 or older, please answer the following questions:

*Do you have a criminal prosecution pending? If yes, please explain here:

*I hereby attest that I have never been convicted of or pleaded guilty to crimes against children and that no child has ever been removed from my home.