Download Application Step 1 of 4 : Personal Information Full Name* Address Line 1* Address Line 2 City* State* Zip* Home Phone* Work Phone/Cell* Birthdate* Have you ever been convicted of a felony? YesNo ( If Yes, please explain ) Next Step 2 of 4 : Education High School* Address* Major* Graduated* College Address Major Graduated Other Address Major Graduated Back Next Step 3 of 4 : Personal Rreferences (excluding relatives) Name* Phone* Relationship* Name* Phone* Relationship* Name* Phone* Relationship* Back Next Step 4 of 4 : Work Experience Volunteer Skill Profile Personal experience with individuals with disabilities Reason for volunteering Is volunteer work going to be used for school or tax credit? YesNo Have you ever volunteered at a non-profit organization? YesNo If yes, where? Back Field marked with an * are required This information is only used for the purposes of filling out and submitting this application form.