Antelope Valley Youth Support Association

HELP LINE VOLUNTEER APPLICATION
Name
Email
Phone
Address
City
State
Zip
D.L. #
S.S. #
Parent/Guardian
High School Attended
Age
Do you or your family participate in the Welfare To Work Program?	Yes No
What is your experience with helping youth?
Why do you want to provide a friendly listening ear to youth?
What is it about YOU that would make a good help line volunteer?
Please provide two (2) adult references	Name: Phone: Name: Phone:
Please indicate your choice or choices	Phone Line Volunteer Board Member Help With Promotion Schedule Volunteers Recruit Volunteers Flyer Distribution