21-22 AAHP Volunteer Contact Form

Academy of Art of Highland Park & Gallery Inc. (AAHP)

727 Raritan Avenue, Highland Park, NJ 08904 USA

www.aahpnj.com (732)-777-2085

AAHP Volunteer Registration Form
2021 - 22 School Year

Current Date

MonthDayYear

Your Name

First NameLast Name

How did you find out about us?

Is this your first time filling out this form?

What corrections/updates would you like to make?

Sex

Date of Birth

MonthDayYear

Age

Select a Track.

Which Programs? You may select multiple.

Which Programs?

Who are you doing this for and why?

Your Mobile Phone Number

Format: (000) 000-0000.

Your 4-Digit PIN for Time Clock Log-in

See your hard-copy Employment Packet for more information on your personal identification number (PIN).

Do your parents allow us to text you?

Can we contact you via text?

Your Email

Your Address

Street Address

Street Address Line 2

CityState

Zip Code

Name of Parent/Guardian

First NameLast Name

Parent/Guardian Home Phone Number

Format: (000) 000-0000.

Parent/Guardian Work Phone Number

Format: (000) 000-0000.

Parent/Guardian Cell Number

Format: (000) 000-0000.

Parent/Guardian Email

Name of First Emergency Contact

First NameLast Name

Relation to First Emergency Contact

First Emergency Contact Home Phone Number

Format: (000) 000-0000.

First Emergency Contact Work Phone Number

Format: (000) 000-0000.

First Emergency Contact Cell Phone Number

Format: (000) 000-0000.

First Emergency Contact Email

Name of Second Emergency Contact

First NameLast Name

Relation to Second Emergency Contact

Second Emergency Contact Home Phone Number

Format: (000) 000-0000.

Second Emergency Contact Work Phone Number

Format: (000) 000-0000.

Second Emergency Contact Cell Phone Number

Format: (000) 000-0000.

Second Emergency Contact Email

Day(s) you work at AAHP

Scheduled Hours You Work on Monday

Scheduled Hours You Work on Tuesday

Scheduled Hours You Work on Wednesday

Scheduled Hours You Work on Thursday

Scheduled Hours You Work on Sunday

Are you taking any classes at AAHP?

Have you taken any classes at AAHP in the past?

Do you have parental permission to walk to and from work?

Number of Years Actively Working at AAHP

Do you have any allergies and/or health issues that we need to be aware of?

Allergy/Health Confirmation

Please describe your allergies and/or health issues in detail in the space provided

I certify that I am the parent or legal guardian of the AAHP employee and/or volunteer completing this form, that I approve of his or her answers/entries in this form, and that I grant the permissions hereby requested in this form.

Parent Signature