* Please read carefully and thoroughly before signing *
I submit that the above information is true and accurate and that I have answered all questions to the best of my ability. I will cooperate in every way with the Huckleberry Youth Programs’ Volunteer Program to meet the necessary screening requirements, including: an in person interview, fingerprint clearance by the California Department of Justice, and proof of TB Test.
I give permission to the Huckleberry Youth Programs to contact the references provided. I understand that the information received from the references will remain confidential.