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SSV Application Form 2026
Alexa Smith
2026-07-02T14:17:27-04:00
SSV Program Application Form
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On occasion, funders ask us for certain demographic information. Please share if you feel comfortable doing so.
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Affiliation Information
Help us to accurately track and recognize community partners by providing us with some additional information about your college, organization or employer.
Is your volunteer service associated with or supported by a college, organization or employer?
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Program Information
Thank you for your interest in volunteering with us! Please select one or more of the options below:
SSV School-Based Mentoring - Meet with students in a one-on-one or small group setting to positively impact social, emotional and educational growth. Expected commitment is once a week for 30-45 minutes for at least one academic year.
SSV's Read Aloud Program - Read aloud in participating pre-K through fifth grade classrooms once a month from October through February. Specific schedule determined by each participating school.
I am looking for another kind of volunteer role
Preferred Meeting Format
One-on-One (One volunteer with one student)
Small Group (One volunteer with 2-5 students)
While we strive to accommodate volunteer requests, opportunities are assigned based on the needs of the schools we serve. As a result, volunteers may not always receive their preferred placements. We appreciate your understanding and flexibility as we work to make the greatest impact where it’s needed most.
Preferred School
Mentoring Grade Level Preference
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Any
Read Aloud Grade Level Preference
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any
Grade Level Preference for other volunteer roles
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Any
Specific Teacher or Student's Room Requested (if applicable)
What type of volunteer role are you interested in?
Availability
Please tell us what hours and days you are available.
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Wednesday
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Sunday
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Other Information
Please use the space below to provide any additional information that will enable us to best facilitate your desired volunteer assignment or accurately record your volunteer service.
Reference
Personal Reference
Please provide the name and contact information of a reference who can speak to your suitability for the volunteer role you have selected.
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How do you know this reference?
How long have you known reference?
Media Release
I authorize Springfield School Volunteers to take, edit, exhibit, publish, distribute, or otherwise make use of any photograph, video recording, and/or audio recording of me, in connection with my volunteering. I grant them permission to use any such media for any purpose at their discretion, including for public awareness efforts through mass media, displays, brochures, websites, and social media. Additionally, I release and forever discharge Springfield School Volunteers from any claims or liabilities whatsoever related to the use of my likeness. I understand and agree that I will not receive any compensation in connection with any use of my likeness.
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Identification
To volunteer in the Springfield Public Schools, you are required to submit a completed CORI/SORI form along with a valid government-issued ID. You can upload a copy of your ID securely below. The CORI/SORI form will be sent to you upon submission of this application. It can also be found on our website.
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Upload your valid government issued ID
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Accepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 50 MB.
Terms and Conditions
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Your agreement below indicates that you have read and agree with the following:
- I certify that the information provided is true and complete to the best of my knowledge.
- I understand that all volunteer work will take place only at the assigned location.
- I understand that to volunteer, I am required to pass a background check by submitting a CORI/SORI Acknowledgement form along with a valid passport, driver's license, or other government issued ID.
I agree to the terms and conditions.
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