Application Forms

Volunteer Application

Name(Required)

First Last

Email(Required)

Phone

Select Program(Required)

Select Position(Required)

Start Date(Required)

Upload Resume

Max. file size: 80 MB.

Website

Phone

This field is for validation purposes and should be left unchanged.

Supportive Services for Family Freedom

Name

First Last

Grade Level

Birthdate

Phone

Email

Best Way to Contact You

Social Media Accounts

Facebook

Twitter

Instagram

Tiktok

Snapchat

Other

Facebook Address

Twitter Handle

Instagram Handle

Tiktok Handle

Snapchat Handle

Other

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Guardian Name

First Last

Parent / Guardian Phone

Parent / Guardian Email

Does youth participant have a Parent or Guardian that is OR has ever been incarcerated ?

No

Yes, my Mom.

Yes. my Dad.

Other

Emergency Contact

You must sign this agreement in the following link in order for your application to be processed: Agreement Form

Did you submit the form above?(Required)

Yes

Referred By

Enter the name of the person who referred you, if any.

Name

This field is for validation purposes and should be left unchanged.

This form is for organizations partnering with CLIC for use of our venue. Please be advised, our space is designed for small, non-celebratory events, such as trainings and workshops with less than 40 people. If you would like to have a large celebration, we suggest "Food for Thought" also located in the West Oaks Mall.

Facility Use Request

Name

First Last

Email

Phone

Please describe the nature of your event.

Ex: Party, workshops, training, etc.

Date

How many people will you be expecting to attend your event?

What time slot would you like to reserve for your event?

Start Time (Including set up-time)

:

.

End Time (Including breakdown time)

:

Will there be food served at your event?(Required)