Skip to content
(773) 369-5515
[email protected]
Facebook-f
Instagram
Twitter
Home
Who We Are
About Us
Board of Directors
Get Involved
Menu
Home
Who We Are
About Us
Board of Directors
Get Involved
DONATE
DONATE
Home
Who We Are
About Us
Board of Directors
Get Involved
Menu
Home
Who We Are
About Us
Board of Directors
Get Involved
Volunteer
Get Involved
Volunteer
Name
(Required)
First
Middle
Last
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Cell Phone
(Required)
Other Phone
Gender
Male
Female
Date of Birth
(Required)
MM slash DD slash YYYY
Marital Status
Single
Married
Spouse Name (If Applicable)
Why do you want to work with KCARE?
(Required)
Please list any talents, training, education or other factors that may help you to work with KCARE:
(Required)
History of Prior Work With Children/Youth
(Required)
Do you have any MEDICAL TRAINING or are you CPR certified?
(Required)
Yes - Medical Training
Yes - CPR Certified
Yes- Both Medical Training & CPR Certified
No
If you answered Yes above, please explain;
Safety & Security
(Required)
The safety and security of children is a primary objective for us. All information is held strictly confidential. Answering yes to any of the questions below may not necessarily preclude your involvement. Thank you for your understanding.
Yes, I agree to the Safety & Security policy.
Have you ever been hospitalized or treated for alcohol or substance abuse?
(Required)
Yes
No
Have you ever been accused of, arrested for, convicted of, or are you currently under investigation for a criminal offense excluding minor traffic violations?
(Required)
Yes
No
Have you ever been accused of, arrested for, convicted of, or are you currently under investigation for any sexually related crimes?
(Required)
Yes
No
Have you ever been accused of, arrested for, convicted of, or are you currently under investigation for any abuse related crimes?
(Required)
Yes
No
Are there any circumstances involving your lifestyle or your background that would call into question your ability to work with children?
(Required)
Yes
No
If you answered yes to any of the above questions please explain:
Reference Request Form
(Required)
Add
Remove
List two personal references (not former employers or relatives). Please give complete mailing addresses and telephone numbers. First & Last Name Street Address City, State Zip Area Code & Telephone
Consent
(Required)
The information contained in this application is correct to the best of my knowledge. I authorize any references or organizations listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with children or youth. I release all such references from liability for any damages or claims that may result from furnishing such evaluations to you. I understand that any omission of material fact on this application may be grounds for rejection of this application.
Yes, I give consent
Δ