Form

Please complete the preliminary volunteer/mentor form and we will contact you shortly. Thanks for your interest in volunteering/mentoring with C.L.A.S.S.!

Name*:
Birth Date* : Age:
Street Address:
City:
County:
State: ZIP:
Email*:
Phone*:
Occupation:
Availability
Please indicate the times that you are available to volunteer/ mentor:  Sun Mon Tues Weds Thurs Fri Sat
Are you interested in volunteering?
Are you interested in mentoring?
Comments:

* Indicates a required field