Thinking about becoming a TeenLine volunteer? That's great! The first step is completing the following questions completely and honestly. Please print neatly and clearly. Use the back if you need extra space.

Name___________________________ Date of Birth______________

Address__________________________________________________

City________________________ State ____ Zip Code __________

Home Phone_________________Other Phone_____________________

School ______________________________ Grade _____________

Do you have your own transportation? Yes No

If no, how will you get to and from TeenLine? ______________________

________________________________________________________

How did you hear about TeenLine? ______________________________

What prompted you to consider volunteering? _____________________

________________________________________________________

Volunteering for TeenLine is a serious commitment. Will you be able to:

*Attend 35 hours of training (one evening and two weekends)? Yes No

*Commit to 27shifts or at least 9 months after training? Yes No

*Commit to three 4-hour shifts per month? Yes No

Would you consider calling a service like TeenLine? Why or why not?

_________________________________________________________

Have you ever volunteered before? Yes No

If yes, what was your experience? _______________________________

Do you have any questions or concerns about TeenLine? _______________

_________________________________________________________

Thank you for your interest in TeenLine! Please get this back to:

TeenLine

P.O. Box 63305, N. Charleston, SC 29419

Fax 566-7193, email 211teens@tuw.org, PH 747-3007