Queens Leadership Registration

Home
About Us
- Leadership Team
- Board of Directors
Program Offerings
Work with Dreams
Apply Now
- Apply Now – Pay Now
- Apply Now – Pay Later

Home
About Us
- Leadership Team
- Board of Directors
Program Offerings
Work with Dreams
Apply Now
- Apply Now – Pay Now
- Apply Now – Pay Later

$Donate!

Queens Academy Volunteer Registration

Name

First Last

Preferred Name:

Address

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

Preferred Method of Contact:

Text Message

Phone Call

Your Current Employer

Why are you interested in volunteering for Queens Academy?

How do you think you could best support the participants in Queens Academy?

Have you mentored or volunteered with any other organizations or had a mentor yourself? If so, where and how did that experience influence your desire to volunteer to mentor with Queens Academy?

Anything else you want us to know?

Have you ever been hospitalized or treated for alcohol or substance abuse?

yes

Have you ever been accused of, arrested for, convicted of, or are you currently under investigation for a criminal offense excluding minor traffic violations?

yes

Have you ever been accused of, arrested for, convicted of, or are you currently under investigation for any sexually related crimes?

yes

Are there any circumstances involving your lifestyle or your background that would call into question your ability to work with children?

yes

Queens Academy Agreement

I agree to the terms.

By clicking the submit button you agree that the information contained in this application is correct to the best of my knowledge. I authorize
any references or organizations listed in this application to give you any information (including
opinions) that they may have regarding my character and fitness for working with children or
youth. I release all such references from liability for any damages or claims that may result from
furnishing such evaluations to you. I understand that any omission of material fact on this
application may be grounds for rejection of this application.background checke

Dreams Academy is a 501c3.
Our mission is to positively affect African American youth by exposing them to men and women from a variety of creative and professional experiences to enhance, mentor, and propel them into adulthood.

Facebook-f Twitter Instagram

Navigation

Donate
Home
About Us
Privacy Policy
Employment Opportunities

Login

Username or Email Address

Password

Remember Me