Volunteer Application

Casa

Involucrarse

Conviértete en Voluntario

Fill out the form below to apply for our Volunteer Program

CREATE AN ACCOUNT

Correo Electrónico

Password

Prefijo

Primer Nombre

Segundo Nombre

Apellido

CONTACT INFORMATION

Nombre Preferido

Teléfono Móvil

Secondary Phone

Partners in Education would like to send you information via text message; communications may include, but not limited to: schedule reminders, event notifications and confirmations, and emergency announcements

By checking this box, I hereby give my express consent to receive text messages from Santa Barbara Partners in Education. I understand that message and data rates may apply.

Address

City

State

Zip

DEMOGRAPHICS
This information is for data reporting purposes only.

Date of Birth

How would you describe your gender?

Select the racial or ethnic categories with which you most closely identify

EMPLOYMENT

Are you currently a student?

Sí No

School Name: (Knowing more about your past and/or present school affiliations helps us connect you to more meaningful volunteer opportunities; please list them here)

Título profesional:

Organization/Company Name:

Industry or Course of Study

Agriculture and Natural Resources Arts, Media and Entertainment Building Trades and Construction Education and Family Services Energy and Utilities Engineering and Design Fashion and Interior Design Finance and Business Health Science and Medical Technology Hospitality, Tourism, and Recreation Information Technology Manufacturing and Product Development Marketing, Sales and Service Public Services Transportation

Select any languages you are fluent in:

If other, please specify

SPECIAL GROUPS/AFFILIATIONS
Please indicate whether or not you are part of any special group that has directed you to us for volunteer screening and next steps.

Group

Therapy Dogs of Santa Barbara E3 Learning Partners (formerly Youth Innovation Club) UCSB Harding Project - Jimerson Lab Career Coach T-Camp (Westmont College)

SPECIAL ACCOMMODATIONS
Help us make the experience easy for you!

Do you need any special accommodations as a volunteer? Please explain

TERMS OF AGREEMENT

I understand that I am not eligible to volunteer at a school site until I have been authorized to do so by Santa Barbara Partners in Education and all screening requirements have been fulfilled.

On occasion, representatives from and/or employees of the Santa Barbara County Education Office wish to photograph, videotape, and-or interview individuals in connection with school programs, projects, or events. Similarly Santa Barbara County Education Office wishes to display students’ creative works. With respect to all photos, videotaping, audio recordings, creative student works, and reproductions of same in any medium including SBCEO web sites, I hereby consent to and authorize their use by SBCEO for reproduction, distribution, and exhibition for any purpose and in any medium whatsoever including (but not limited to) publication, website, broadcast, display, and exhibition for educational purposes, without compensation or notice to me. I agree that I shall have no right, title, or interest in any photo or videotape covered by this agreement and waive any right to compensation for such use.

I certify that the information provided on my volunteer application is true and correct to the best of my knowledge. I understand that any false or misleading statements of material may subject me to disqualification or dismissal.

By submitting this application, I hereby release Santa Barbara Partners in Education and its officers, directors, employees, sub-contractors, sponsors, agents and affiliates from any and all liability relating to instances that may occur during volunteer activities or Partners in Education events and from all present and future claims that may be made by me, my family, estate, heirs or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the volunteer activities wherever, whenever, or however the same may occur.

3970 La Colina Road, Suite 9, Santa Barbara, CA 93110 | (805) 964-4711

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Santa Bárbara Partners in Education es una organización 501(C)3 administrada por la Oficina de Educación del Condado de Santa Bárbara.

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