Date of Birth*
Must be 21 years of age to volunteer
Month
Day
Year
Do you agree to submit to a background check?*
Have you ever been convicted of a felony outside of a minor traffic violation?*
I understand that the information and references supplied on this application will be checked and verified by Lawrence Hall. All information obtained will be held in strict confidence, and will be shared only with the Lawrence Hall staff that have direct responsibility to the child/children that I will be working with as a volunteer.
I release all parties from any liability or responsibility in granting and furnishing such information.