Youth Volunteer Application | Dunn County Partnership for Youth

Arbor Place, Inc is seeking responsible young adults to be involved with the Dunn County Partnership for Youth (DCPFY).  
Individuals must be willing to be part of a supportive team environment, must possess leadership, communication, and public speaking skills, as well as organizational and time-management skills.  
Individuals must pass a drug screen and have access to reliable transportation.  

Responsibilities will include: 
- Assisting DCPFY in researching effective strategies and curriculum to address identified needs
- Planning and implementing identified program options (working alongside school administrators and counseling staff)
- Providing leadership and education within the county on substance abuse prevention
- Attending DCPFY related meetings and trainings 
- Serving as a youth role model.  

Responsibilities related primarily to Arbor Place include: 
- Assisting with the Wisconsin WINS program by conducting tobacco compliance checks throughout Dunn, Pepin, and Taylor Counties
- Educating law enforcement, retailers, and others about tobacco laws.

Name*

First Middle Last

Gender*

Female
Male

Date of Birth*

Age*

Please enter a number from 10 to 25.

Phone*

Phone Type*

Home
Cell

Email*

Enter Email Confirm Email

Preferred Method of Contact*

Phone
Text
Call

Address*

Street Address City State ZIP Code

School*

Please note the school you are currently attending

Grade*

Graduation Year*

Are you able to commit six months or more to volunteering with Arbor Place, Inc. (contingent upon a three month review and biannual reviews thereafter)?*

Yes
No

Emergency Contact Name*

Relationship to You*

Emergency Contact Phone*

Why are you interested in volunteering with Arbor Place, Inc.?*

Which of the following projects might you be interested in being involved with?*

Please mark all that apply

Working with students 3rd - 5th grade
Working with students 6th - 8th grade
Working with students my own age
Media Projects
Event Planning
Other (please specify below)

If other, please specify

Which of the following are of greatest concern to people your age?*

Please mark all that apply

Alcohol
Bullying
Drugs
Homelessness
Mental Health
School Pressures
Sexual Activity
Texting and Driving
Other (please specify below)

If other, please specify

Previous Volunteer or Work Experience

Company/Organization

Address

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

Date From

Date To

May we contact?

Yes
No

Contact Name

Contact Phone

I hereby certify that to the best of my knowledge the above information is correct.

Signature*