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). *

What is your College Major?

Are you available on Saturdays from 12-3pm? *

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.