VOLUNTEER FORM | Aimtoday

VOLUNTEER APPLICATION

Which role are you applying for?

Board

Mentor

Volunteer

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Address (if less than 2 years enter previous address)

Gender

Female

Male

Other

List any Licenses, Certifications or Formal Training?

Do you speak a fluent language other than English?

Age:

Are you currently employed

Yes

No

Name of your employer

Times you are available?

Volunteer duration desired?

Short Term (1-3 months)

Mid Term (3-6 months)

Long Term (6-12 months)

Do you have previous experience working with youth?

yes

No

If so, please specify?

Why do you want to volunter with AN IMAGE OF ME?

How did you hear about AN IMAGE OF ME?

Friend/Family Member

Social Media

Employer

Other

References (Name, E-mail, Phone Number, Relationship)

I consent to AN IMAGE OF ME performing a background check

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I agree that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may affect my eligibility for participation.

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