APPLY TO BE A VOLUNTEER AT NIA!

 
 
Name *
Name
If accepted, volunteers under 18 years old will need to provide a parent signature.
Please choose one NIA after-school site to volunteer for.
Phone Number
Phone Number
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone # *
Emergency Contact Phone #
Do not list a relative (name, address, phone #)
Ex 1: I am interested in helping instructors teach art. Ex 2: It is a requirement for my school.
Have you ever been convicted of a crime in NY State or any other jurisdiction? *
All of the information listed herein is accurate to the best of my knowledge. I understand that my e-signature indicates that I have been completely truthful in providing the information recorded on this application. *
All of the information listed herein is accurate to the best of my knowledge. I understand that my e-signature indicates that I have been completely truthful in providing the information recorded on this application.
Please provide your e-signature.
 
 

*Adults 18 years or older and anyone planning to volunteer on a continuous basis will be required to complete a full clearance file with NIA, which includes a Statewide Central Register (SCR) clearance, Criminal Background Check (CBC), and fingerprint submission. This paperwork will be filled out at the NIA main office at 6614 11 Avenue, Brooklyn, NY 11219.