*denotes required field
Date of Birth (month/year)
Would you be interested in volunteering as a family?
(Please list two (2) personal references other than family)
Are you willing to let The Rainbow Connection do a police clearance? Yes No
Please check all that apply. **please specify below
Please check any tasks that you would be interested in volunteering for.
Please check all that apply.
Do you have weekday volunteer availability?
Yes No Sometimes
Are there any special skills or training that you would like to share with The Rainbow Connection?
** Use this space to clarify any skills listed above
How did you hear about The Rainbow Connection?