Kinney Center High School Volunteers

* denotes a required field.

Volunteer Information

First Name *

Last Name *

Email Address *

Phone Number *

Birthdate *

School Information

Name of High School *

Intended Graduation Year *

CEEB (hidden)

Level of Study (hidden)

Guidance Counselor Name

Guidance Counselor Email

Additional Questions

How did you hear about the Kinney Center? *

Why are you interested in volunteering at the Kinney Center? *

Are you looking to fulfill a service requirement for school or organization? *

Yes

No

What documentation would you be needing? *

Please describe any previous experience (professional, volunteer, or informal) with individuals with an autism spectrum disorder (ASD). If you do not have any experience working with this population, that’s okay - please enter N/A below. *

Emergency Contact

Emergency Contact #1

First Name *

Last Name *

Relationship to Applicant: *

Other *

Phone Number: *

Emergency Contact #2

First Name *

Last Name *

Relationship to Applicant: *

Other *

Phone Number: *

Signature

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. I understand that any false, inaccurate or misleading information contained in my application or provided by me during my interview will result in the denial of my application, or if already employed, in discharge from employment. I also understand that I am required to abide by all rules and regulations of Saint Joseph's University and the Kinney Center.

I certify that I have read and agree with these statements. *

Kinney Center High School Volunteers - Summer 2026

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