CSA-Xenia Volunteer Application

Hello!

We appreciate your interest in volunteering for the CSA-Xenia Volunteer Program! Our district offers a variety of activities you may choose from when volunteering your time. Simply complete and submit a volunteer application and upon approval you will receive instructions on next steps. We apologize if any of this is repeated information from the form that was previously sent out, but this Raptor form is the final, official form that will get you entered in to our system and ready to get started with us.

It is very important that the information you enter on the application matches your government issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. If you are unable to provide an email address, you use info@communitysteam.org. All information collected on the application will remain confidential and not be shared outside the volunteer program.

If you have any questions about the application, please call 937-800-2720

Thank you,

Kristin Miller

Intermediate Director

kmiller@communitysteam.org

(937) 800-2720 Ext. 1004

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter info@communitysteam.com and a CSA-Xenia administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

By providing your signature, you are agreeing to abide by the rules and regulations of the CSA-Xenia Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Please enter your payment information

A criminal background check is required for volunteering at CSA-Xenia. There is a fee associated with the screening and we appreciate your help in covering the cost of this service so that we can ensure the safety and security of our students and staff.
Fees may vary depending on the functions selected. Payment is necessary to complete your volunteer application.

Volunteer Application

Name on Card

Postal/Zip Code

Indicates required fields

Thank You

Your volunteer application has been successfully submitted and will be reviewed per CSA-Xenia’s volunteer policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with a volunteer representative.