CCYT Volunteer Application
At the bottom of this application please use the volunteer documents section to upload a copy of your driver's license and car insurance. You will need to use the drop down box to select the number two in order to upload both documents.
If you have children, please use the CCYT Volunteer Children section to select the number of children in your home.
Main Contact Information
First Name
*
Last Name
*
Street Address
*
City
*
State/Region
*
Select US-State
AK - Alaska
AL - Alabama
AR - Arkansas
AS - American Samoa
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
FM - Federated States of Micronesia
GA - Georgia
GU - Guam
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MH - Marshall Islands
MI - Michigan
MN - Minnesota
MO - Missouri
MP - Northern Mariana Islands
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
PW - Palau
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VI - Virgin Islands
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Enter Region
Zip Code
*
Home Email
*
Phone Number
*
Enter International
Gender
*
Agender
Female
Gender Fluid
Gender Queer
Male
Nonbinary
Transgender, female
Transgender, male
Two Spirit
Prefer Not to Answer
Questioning
Preferred Pronouns
*
He/Him/His
She/Her/Hers
They/Them/Theirs
Ze/Zir
Other
He/She
He/They
She/He/They
She/They
Race & Ethnicity
*
African
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Multiracial
Native Hawaiian or Other Pacific Islander
Other
White or Caucasian
Birth Date
*
Are you a licensed foster parent?
*
Yes
No
What CPA are you licensed with?
Additional Adult Information
If there is another adult in your home please fill out this section.
Person 2 First Name
Person 2 Last Name
Additional Full Address
Person 2 Email
Person 2 Phone Number
Enter International
Person 2 Gender
Agender
Female
Gender Fluid
Gender Queer
Male
Nonbinary
Transgender, female
Transgender, male
Two Spirit
Prefer Not to Answer
Questioning
Person 2 Preferred Pronouns
He/Him/His
She/Her/Hers
They/Them/Theirs
Ze/Zir
Other
He/She
He/They
She/He/They
She/They
Person 2 Race & Ethnicity
African
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Multiracial
Native Hawaiian or Other Pacific Islander
Other
White or Caucasian
Person 2 Birth Date
Volunteer Questions
How did you hear about Community Connections YouThrive?
*
Have you or anyone in your household ever been convicted of a felony or crime against a person?
*
Yes
No
Please explain any convictions
Have you ever been terminated from a paid or volunteer position as the direct result of misconduct with a child or lying about criminal history?
*
Yes
No
Please explain any terminations
Acknowlegements
I affirm that the facts set forth in it are true and complete. I understand that if I/we become a Support Family, any false statement, omissions, or other misrepresentations made by me/us on this application may result in dismissal
*
I give FosterAdopt Connect permission to share information about me with a potential youth for matching purposes
*
CCYT Volunteer Documents
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Document Type
*
Document File Link
*
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
Background Clearance
Car Insurance
Driver's License
Document Uploaded
Reupload
CCYT Volunteer Children
0
1
2
3
4
5
6
7
8
9
10
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Child's First Name
Child's Last Name
Child's Age
Submit