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A Program of Catholic Charities

Service Learning Application

Name *
Skidmore Address *
Home Street Address *
City, State, and Zip Code *
Home Phone Number *
Work Phone Number
Cell Phone Number
Email Address *
Birthday *
Race/Ethnic Identification *
I am currently a college (select one). *
FreshmanSophomoreJuniorSenior
What is your College Major?
Are you available on Saturdays from 12-3pm? *
YesNo
Are you currently working? If so, where?
Relevant previous employment and/or experience.
Please describe involvement you have had with young people through other organizations, programs, community activities, and/or family?
How did you hear about Saratoga Mentoring?
Why would you like to do your service learning hours with Saratoga Mentoring?
Please indicate if you speak a language other than English.
Do you have any preferences as to the age or interests of the child with whom you will be matched? (We serve ages 5 – 15.) If so, what are they? Please keep in mind that we take preferences into consideration but cannot guarantee that preferences will be met.
Please feel free to include a resume or any additional information of interest in the field below.

Affirmation: To the best of my knowledge, the above information is true and correct. I grant my permission to verify my employment and to contact the above references. (Online applicants can provide consent/signature at the time of the Volunteer Interview.