Youth and Elders Volunteer Application

If you have questions about this application please call 303-623-1176 or email info@bessieshope.org.

Group Name*
Address*
Primary Mailing Address for Group

Street Address City State ZIP Code
Primary Phone Number for Group*
How did you hear about Bessie's Hope?*
How often does your group intend to visit?*
What is the total number of youth who will participate this year?*
What is the average number of youth who will participate in each visit?*
When are the best times for your visits?*
I understand each youth must have a Waiver and Release form completed before their first visit.*
- I Agree
Please have each volunteer complete this waiver and release.
Primary Group Leader
Name*
First Last
Address*
Street Address Address Line 2 City State
Home Phone
Cell Phone
Email*
Home Email
For teachers - we often have our volunteer appreciation event at the end of the summer. We struggle to get the word out to our wonderful teacher, group leaders since we have primarily school contact information. Please provide us with a summer email address so we can send the invitation there. If the email address above is a good way to contact you throughout the year, please skip this field.
Second Group Leader
Name
First Last
Address
Street Address Address Line 2 City State
Home Phone
Cell Phone
Email
Third Group Leader
Name
First Last
Address
Street Address Address Line 2 City State
Home Phone
Cell Phone
Email
Group Demographics
Please estimate the demographics of the youth in your group. This information is important for some of the grants that help Bessie's Hope exist.
Number of Adult Volunteers*
Number of Youth Volunteers*
Youth Age Range
Age Range of Youth*
Number of African American Youth Volunteers*
Number of Male Youth Volunteers*
Number of Female Youth Volunteers*
Number of Low Income Youth Volunteers*
Number of Asian Youth Volunteers*
Number of Caucasian Youth Volunteers*
Number of Hispanic Youth Volunteers*
Number of Native American Youth Volunteers*
Number of Other
Questions or Comments:
If you have any specific questions or comments please type them here.