KidsRock4Kids.com

click on the book to read stories of teens just like you who are making a difference in their communities.

Volunteer Registration Form

Please take a moment to fill out our volunteer contact form and biography questionairre. We would love to feature you on our Member Spotlight Section.

Today's Date
JUST THE FACTS
First Name: *
Last Name: *
Phone:
E-mail: *
School Attending
Current Grade
Your Birthday
AVAILABILITY
Available during the	Morning Afternoon Evening Anytime
I can help on	Weekdays Weekends Anytime

MEMBER SPOTLIGHT INTERVIEW
We would like to feature you on our website. Please take a minute to fill out the following questions. We will post your details within the week.
Current Photo of you
Click icon to e-mail your photo if you are having trouble sending it.
SOCIAL NETWORKING
Can we share this? *	Yes No
FaceBook
MySpace
Flickr
DeviantArt
Other

INTERVIEW QUESTIONS
(If any of these questions does not apply, please put n/a)
What issues do you feel are important for teens today to be aware of?
1. *
What are your interests and hobbies? What about special skills (i.e. I am an artist, I speak 2 languages, I build web banners etc...)
2.
What group(s) have you volunteered with? What did you enjoy most about your experience?
3. *
Are there any clubs or leadership boards you are involved with in school?
4. *
A national book company is interested in your life story. How would you describe your "biography" (i.e. Was born in IL, have 4 brothers, etc...)
5. *
You are playing the "Getting to Know You" Game with your friends. The current card states: "Sum up your friend in 4 words" What words do you think they would use?
6. *
Now turn it around and tell us what 4 words you would use to describe yourself:
7. *

Speak Out. Speak Up. Make It Happen. Do You Have VOICE?

Volunteer Registration Form

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