Registration

BECOME A VOLUNTEER! 

CYC thrives on the work of volunteers. Whether you are a youth or an adult, we are sure to have an opportunity that fits your skill set, or we will connect you with an organization that does.

Typical volunteer roles at CYC include the following:
* Serve as a mentor for a middle or high school youth
* Volunteer to co-facilitate with one of our middle school programs
* Share your career or your talent as a guest speaker
*Assist with general upkeep of CYC. Our offices are always in need of TLC as our resources are
   directed towards programming instead of cleaning services.

For more information on volunteering
Contact Stephanie (stephanie@cyconcepts.org) or call the office at (515) 243-4292.

Ready to get started? Complete our online volunteer application below. Or, to find more information about volunteer opportunities available, please contact us.

* Login Name
* Login Password
* Retype Password:
Prefix
* First Name
Middle Name
* Last Name
Suffix
* Birth Date (mm/dd/yyyy) / /
* Address
* City
* State
* Zip Code -
* Preferred Email
Alternative Email
Home Phone
Mobile Phone
* Preferred Phone
* Primary Language
Second Language
Would you like more information on special events at CYC?

Volunteer Interests

Volunteer Interests Events
Professional Skills Assistance
Mentoring
Working with Youth
Office Assistance
Tutoring
Construction

Your Availability

Any Day Mornings
Afternoons
Evenings
Monday Mornings
Afternoons
Evenings
Tuesday Mornings
Afternoons
Evenings
Wednesday Mornings
Afternoons
Evenings
Thursday Mornings
Afternoons
Evenings
Friday Mornings
Afternoons
Evenings
Saturday Mornings
Afternoons
Evenings
Sunday Mornings
Afternoons
Evenings

Education

* Area of Study
* Name of School
* Highest Level Completed

Employment Information

Career Field
Length of Time in Field
Name of Employer
Position
Length of Employement
Previous employment experience in career field (organization, position, length of employment)
Would youth be able to attend career related organizational meetings with you?
Does your employer have a corporate match program?

Professional Skills

(check all that apply) Art
Computer / IT
Construction
Gardening
Grant Writing
Graphic Design
Marketing
Nutrition
Photography
Sewing
Teaching
Video Production
Web Design
Other Skills
Languages Spoken

Interests and Hobbies

(choose all that apply) Arts & Crafts
Automobiles
Camping
Computers & Technology
Cooking
Fitness
Gardening
Math
Movies
Music
Outdoor Activities
Photography
Reading
Science
Sewing
Sports
Theater
Travelling
Video Games
Writing
Other Interests

Community Involvement

Clubs and Organizations
Church / Religious Institutions

Volunteering History

Previous Volunteer Experience (Organization, Duties, Length of Service)
Why are you interested in volunteering for CYC?

How did you hear about us?

How did you hear about us? Sidewalk Chalk
Social Media
Volunteer Solutions or Volunteer Match Websites
CYC Website
Civic Group or Organization
CYC Participant
CYC Partner (Boys and Girls Club, Everybody Wins Iowa, Kiwanis, etc.)
School
Other

Emergency Contact

* Emergency Contact Name
* Emergency Contact Home Phone
* Emergency Contact Cell Phone
* Relationship

References

References required for anyone requesting to work directly with youth.

REFERENCE 1- NAME
Email
Telephone
Occupation
Number of years aquainted
REFERENCE 2-NAME
Email
Telephone
Occupation
Number of years aquainted
REFERENCE 3-NAME
Email
Telephone
Occupation
Number of years aquainted

Demographics

This information is used for our funding purposes only, and does not affect your volunteer status.

Race
Ethnicity
Age
Gender
Are you a Veteran?
Is English your first language?

Background Information

The ability to pass a federal background check is required for anyone requesting to work directly with youth.

Have you ever been convicted of a misdemeanor or felony or have you been under the supervision of the correctional system?
Have you ever been convicted and/or charged with child abuse or neglect?
If transporting youth as part of your volunteer assignment, has your driver's license ever been suspended or revoked?
If you answered yes to any question above, please explain:

Electronic Signature

* E-Sign Name
* E-Sign Date
    
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