volunteer registration form
contact information please check S the preferred method(s) of contact
First and Last Names Date of Birth Age
Employer Email Address
Home Address
Street City State Zip
Contact Telephones
Home Cell Work
volunteer interests please check all that apply
Work With Kids at the Units
Technology -Teaching software & various learning projects like web or graphic design… in the Tech Room
Education - Group and individual tutoring and high yield learning activities in the Learning Room)
Arts - Leading kids in art projects using a variety of media in the Art Room)
Physical Education and Recreation - Leading kids in activities involving physical exertion – dodge ball....
Social Recreation - Leading kids in a variety of games –pool, air hockey… in the Games Room
Work With Kids in the Classroom
SMART Moves - Drug and alcohol resistance training
Positive Sprouts – Gardening Program
Be Great Graduate - Mentoring Program
Work With Kids in the Community
Athletics: Football Basketball Volleyball (This program requires weekends and evenings) contact Shawn Nicholson at 479-273-7187 or for more information)
Assist with General Maintenance or Special Events
Please specify your skills or your desired project
availability and location
Summer Program(June -August) / After School Program (Aug - May)
mon / tue / wed / thu / fri / mon / tue / wed / thu / fri
7 - 8 AM / 3 – 4 PM
8 - 9 AM / 4 – 5 PM
9 - 10 AM / 5 – 6 PM
11 - 12 AM
12 - 1 PM / Facility/Community Preference
1 - 2 PM / McKinney Bentonville Unit, 2801 N. Walker
HLM Bentonville Unit, 1207 NW Leopard Lane
Rogers Unit, 409 S. 8th Street
Bella Vista Unit, 2260 Forest Hills Blvd.
2 - 3 PM
3 - 4 PM
4 - 5 PM