Registration Form
 
 

Please fill out the following form to submit your online Registration Application. If you have any questions/problems, please give us a call at 740-9116 or e-mail us at volctr@usc.edu
PERSONAL INFORMATION
Status:
*USC UserName :
 @usc.edu
  If your USC email address is ttrojan@usc.edu, then your USC username is "ttrojan".
 
*10-digit USCID#:
 (ie: 1234567891)
*First Name:
*Last Name:
*Email:
*Birth Date:
 (ie: MM/DD/YY)
Sex:
Male Female
 
Do you own a car? :
No Yes
 
Major or Department:
Graduation Year:
 (ie: 2000)
CONTACT INFORMATION
*Information below is
  valid until:
 (ie: MM/DD/YY)
*Local Address:
*City:
*State:
*Zip:
*Local Phone:
 (ie: 213-555-5555)
*Cell Phone:
 (ie: 213-555-5555)
*Perm. Address:
*City:
*State:
*Zip:
*Permanent Phone:
 (ie: 213-555-5555)
VOLUNTEER INFORMATION AND INTERESTS
What skills or expertise can you use in volunteering? (e.g. computer skills, foreign language, teaching, CPR, etc.):

Volunteer Interest: Check all that apply

AIDS
 Health Public Safety
Arts and Culture Homelessness Religious
Business Housing Recreational
Disabled International Youth
Education Legal Other
Emergency Aid Literacy No preference
Environmental Older Adult  
Gay/Lesbian/Bisexual Politics  
*Emergency Contact Person:
*Telephone:
 (ie: 213-555-5555)
*Relationship:

 
I, the undersigned, wish to be informed about volunteer service projects taking place near USC's campus through the Volunteer Center. I, intending to be legally bound, for myself, my executors, administrators and assignees, so hereby waive and release the University of Southern California for damages arising from my participation and travel to and from all volunteer service projects in which I take part. I also certify that I am physically fit to participate in these volunteer service projects.





USC Student Affairs Information Technology
This website was created for the USC Volunteer Center