Da Capo Music Lessons

Volunteer Application

Buluran
Allison
July 15,2014
NAME: (Last)________________
(First) ________________
DATE_______________
University of California, Irvine
SCHOOL: _______________________
YEAR: Freshman/Sophomore/Junior/Senior
Psychology
3/22/1995
19
MAJOR: ________________________
BIRTHDATE ___________
AGE:___________
(626) 643-1841
PHONE : ________________________
abuluran@uci.edu
EMAIL: ____________________________________________________________________
BEST WAY of CONTACT (text/email/in person?):
text - (626) 643-1841
____________________________________________________________________________
BACKGROUND in MUSIC (doesnt have to just be training specific. Include performances, experience
with teaching, classes) took piano lessons from 7-13, participated in recitals, played for
high school church choir; no experience in teaching (except little
sister)
AVAILABILITY (We would like to schedule weekly meetings on top of the Thursday classes. We work to
be flexible with your time)
MONDAY:
THURSDAY:
OTHER:
TUESDAY:
FRIDAY:
WEDNESDAY:
SATURDAY :

PHOTO VIDEO RELEASE

Allison Buluran
Name (Printed) __________________________
July 15,2014
Signature _________________________________ Date ______________________

07.14..2014

Da Capo Music Lessons

REFER TO ADDITIONAL DELHI VOLUNTEER FORMS
I have read, understood, and agreed to Delhi Center's Confidentiality Agreement and Volunteer
Code of Conduct. Please contact the Program Directors for a copy of these forms, if desired.
Allison Buluran
Name (Printed) __________________________
Signature _________________________________ Date ______________________

QUESTIONNAIRE
Answer as completely and honestly as you can. Continue on a separate page if necessary
1. As a partner with Delhi Center, we want our mentors to also support Delhi Center's mission to advance
self-sufficiency through sustainable
T programs in health, financial stability, education and community
engagement. Share with us at least one aspect of the mission statement that you see yourself representing.
I would like to provide my time and service to the community around me. I would like to help
other organizations mission to enhance the quality of life in the community through being a part
of health and education programs.
T

2. Why do you want to volunteer with us and how did you hear about this program? Anything else you
would like us to know, please comment below!
I heard about this program through alumni members of Alpha Phi Omega. I would like
to volunteer because playing piano was something that I was very passionate about
when I was in middle school, and I would like to be able to encourage and help young

07.14..2014