Summit Registration

"*" indicates required fields

Are you in an area with no Youth Volunteer Corps affiliate nearby, but you still want to participate in the Volunteer For 15 program? No problem! All you need to do is volunteer for 15 hours in your community, and when you have completed the hours, fill out this form and submit the information! It’s that easy!

Be sure to read the form from beginning to end so you know what information you will need when you return to fill it out!

Contact Info

Name*

Youth's First Name Youth's Last Name

Youth Age*

Please enter a number from 11 to 18.

Youth Email Address*

Youth Full Address*

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

You will receive your certificate and letter after review by Youth Volunteer Corps staff.

Volunteer Info

Service Project*

Date(s)*

Hours*

What Did You Do?*

Service Project

Date(s)

Hours

What Did You Do?

Service Project

Date(s)

Hours

What Did You Do?

Parent/Guardian Info

Parent/Guardian Contact Email*

Parent/Guardian Contact Cell Phone*