Please fill out the following form with as much detail as possible. Once you have filled out the below form please click the SUBMIT button. ALL items in RED are Required for your form to be accepted and reviewed by the Shawn Hornbeck Foundation for consideration. PERSONAL INFORMATION First Name: Middle Name: Last Name: Address 1: Address 2: City: State: Zip Code: Date of Birth: ( mm/dd/yyyy ) >> You Must Be Born Prior To: 6/21/1993 << Daytime Phone: ( XXX-XXX-XXXX ) Evening Phone: ( XXX-XXX-XXXX ) Best Time to Call: Email Address: Prefered Contact Method: ( Default is via Email ) Please Select Email Daytime Phone Evening Phone Postal Mail Your T-Shirt Size: Please Select Small Medium Large X-Large XX-Large XXX-Large YOUR SKILLS Computers: ( Check all that apply ) Typing     MS Windows     Programming     Graphics Tech Support     Internet Other Skills:  MyID4Life Events: ( Check all that apply ) Typing ( fast / accurte required )     Photography     Fingerprinting Measuring ( basic math )     Public Speaking Other Skills:  Making Trax Events: ( Check all that apply ) Public Speaking     Computer / Projector Setup      Role Playing Other Skills:  Other Skills That Could Be Very Helpful To Us: YOUR EXPERIENCE / REFERENCES Have You Volunteered With Any Other Organizations? ( If YES, Who For, What Were Your Positions and When? ) Work Experience? Reference 1. ( You Must Include a Minimum of 2 References ) ( Please include name and contact information for ALL References ) Reference 2. Reference 3. Reference 4. Do You Have Any Felony Convictions?: YES     NO Have You Ever Been Charged of Abuse of a Child or Adult?: YES     NO Are there any other issues/charges that we should be aware of?: HOW WOULD YOU LIKE TO HELP US? Which Program(s) Would You Like To Volunteer For: ( Check all that apply ) Kidz Kardz ( Child ID Card Program ) Making Trax ( Child Abduction Awareness Program ) A Lost Child Website Office / Administration Fundraising Search and Rescue ( *Separate Volunteer Application Required ) Other:  When Are You Available to Volunteer: ( Indicate the hours you are available; e.g., 10 a.m. to 2 p.m. ) Sunday:  Monday:  Tuesday:  Wednesday:  Thursday:  Friday:  Saturday:  Why Would You Like To Volunteer With The Shawn Hornbeck Foundation?