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Youth Keep-In-Touch (KIT) Application Form
*Last Name
*First Name
*Email
*Day Phone
*Evening Phone
*Mailing Address
*City
*State
*Zip
*Are you 18 years of age or older?
No
Yes
*Do you go to school?
No
Yes
School Name
*What is your major?
How many credits to you take a semester?
*Do you work?
No
Yes
Please Specify
*Do you speak a language other than English?
No
Yes
Please Specify
*Do you have someone to turn to for help?
No
Yes
Please Specify
*What kind of help do you want from your JIT/KIT volunteer? (e.g. advice in making a decision; practical help with things)
*What are your expectations or hopes in having a JIT/KIT volunteer?
*Do you have a gender preference in working with a JIT youth?
No
Male
Female
*What level of communication would you like to have with your JIT youth?
Level 1
Once a month by email for ten months, including recognition of birthday, a special holiday, graduation, etc.
Level 2
Twice a month by email or phone for ten months, plus the above recognitions.
Level 3
Twice a month or more by email or phone or face-to-face plus the above recognitions.
*How important is it for you to have a JIT/KIT Volunteer?
Extremely
Very
Somewhat
Not Very
If you have a preferred JIT/KIT volunteer, please specify:
Name
Email
What else would you like us to know about you at this time?
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