INTEREST SURVEY

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INTEREST SURVEY
Community Partnerships
INTEREST SURVEY
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LAST NAME FIRST NAME MIDDLE INITIAL PHONE:
E-MAIL:
STREET ADDRESS BEST TIME OF DAY TO CONTACT YOU:
CITY, STATE, ZIP BEST WAY TO CONTACT YOU (PHONE
OR E-MAIL?):
VOLUNTEER CATEGORY (CHECK ALL THAT APPLY):
PARENT/GUARDIAN GRANDPARENT COMMUNITY MEMBER HIGH SCHOOL STUDENT
COLLEGE STUDENT RETIREE MEMBER OF MILITARY

HOW WOULD YOU LIKE TO HELP OUR SCHOOLS?
CHECK THE OPPORTUNITIES THAT INTEREST YOU. PLEASE NOTE THAT CERTAIN OPPORTUNITIES MAY NOT BE AVAILABLE AT SOME SCHOOLS. DESCRIPTIONS OF OPPORTUNITIES CAN BE FOUND ON THE VOLUNTEER MENU.
LITERACY TUTORING LIBRARY ASSISTANCE PRESENTATIONS
MATH TUTORING OFFICE SUPPORT SCHOOL BEAUTIFICATION
CLASSROOM SUPPORT SCHOOL OR DISTRICT
ADVISORY COMMITTEES		 OTHER INTERESTS OR
SKILLS (PLEASE LIST):
LUNCH BUDDIES CULMINATING PROJECT
JUDGE
AFTERSCHOOL PROGRAM
SUPPORT		 EVENT SUPPORT
MENTORING JOB SHADOWING
COACHING
TRANSLATIONS (LIST LANGUAGES):
WHICH AGE GROUP WOULD YOU LIKE
TO WORK WITH?		 HOW OFTEN DO YOU WANT TO
VOLUNTEER?		 DAYS AND TIMES YOU ARE
AVAILABLE TO VOLUNTEER
ELEMENTARY SCHOOL (K-5) WEEKLY DAY(S):
MIDDLE SCHOOL (6-8) MONTHLY
HIGH SCHOOL (9-12) ONE-TIME EVENTS TIME(S):
PREFER TO WORK WITH STAFF ONLY OTHER (PLEASE DESCRIBE):
NO PREFERENCE
ARE YOU INTERESTED IN WORKING WITH A PARTICULAR SCHOOL? IF SO, PLEASE LIST SCHOOL(S):
HOW DID YOU HEAR ABOUT CPSD VOLUNTEER OPPORTUNITIES?

PLEASE RETURN TO:
HOLLY BOCCHI
CPSD FAMILY & COMMUNITY PARTNERSHIP COORDINATOR
10903 GRAVELLY LAKE DRIVE SW, LAKEWOOD WA 98499
PHONE: 253-583-5043 E-MAIL:[email protected]