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- Student Projects

Student Application Form

INSTRUCTIONS
Please read the questions carefully and complete all sections of the application as thoroughly as possible.

PLEASE NOTE: Contagious Compassion reserves the right to approve or disapprove any project, in its sole discretion.

IF YOU ARE UNDER 18 YEARS OLD: Your parents’ signature is required, so please download the application form and return it with your parents’ signature.

Be prepared to complete the form in one session, as your answers will not be saved if you leave the site before the application has been submitted.

PERSONAL INFORMATION

Name

Street

City/State

Zip

E-mail

Phone

Cell Phone

Work Phone

Currently a Student? Yes No

If Yes, where?

Highest Level of Education

Area Of Focus

EXPERIENCE

Have you participated in other philanthropy projects? Yes No

(If yes, please describe in detail your past experience)

PROJECT DESCRIPTION

If you have an idea for a project you would like to work on, please use this space to describe your idea. If you don't have a specific project idea yet, tell us about the issues that stir your passion and make you want to advocate for change. What resources would you be bringing to this project? What resources are you concerned about needing? How long do you see this project lasting? What would success look like for this project?

EMPLOYMENT INFORMATION

Employer

Occupation/Title

Address

City/State

Zip

May we contact you at work? Yes No

If yes, best # to reach you

How Long Employed

Additional Information You would like us to know

PLEASE NOTE: Contagious Compassion reserves the right to approve or disapprove any project, in its sole discretion.

REFERENCES

For background check, please provide your:

Drivers license number

State Issued

Expiration date

Please submit four personal references as follows

Your current or past employer who has known you for at least 1 year
A coworker or friend who has known you for at least 2 years
A coworker or friend who has known you for at least 2 years
A family member (parent/sibling/aunt/uncle) who has known you for at least 3 years.

Please inform references that Contagious Compassion
will contact them soon

1. Current or Past Employer

Employer's Name (or school if student, or professional reference if self-employed or retired)

Supervisor's Name (or teacher if a student or professional reference if self-employed or retired)

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 1 year)

2. Coworker or Friend

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 2 year)

3. Coworker or Friend

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 2 year)

4. Spouse/Domestic Partner or Relative

Relationship to applicant

Name

Address

City/State

Zip

Day Phone

Evening Phone

How long have you known this person? (Must be for at least 3 year)

Would you like to be contacted by Contagious Compassion about important news and events? Note: We will not share your contact information. Yes No