Volunteer Application Form

Volunteer Interest Form
Name*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Employer
Volunteer Organization
Do you speak a language other than English?

NoYes, SpanishYes, Other Language
Have you participated in any Girl Empowerment Network events in the past?

YesNoNot Sure
If yes, which events?
Please check areas of interest that you would like to explore while volunteering:

Administrative tasks (data entry, mailings, etc.)Community outreach (tabling events and fairs)One-time events (Radiant G Conference, Power Chats)Direct service/Group facilitation with girlsHosting a fundraising event at my home
How often are you available to volunteer?

Once a weekOnce a monthOnce a yearOther
Availability

MorningWeekendsAfternoonWeekdaysEvenings
Please tell us about your interest in volunteering:
What type of experience, knowledge or other special skills that you are interested in sharing?
What background or experience do you have working with youth?
Previous experience is not required. This will help us place you in the most appropriate program.
What grade range do you prefer to work with? (Select all that apply.)

ElementaryMiddleHigh SchoolOpen to any age range
In your opinion, what are the biggest issues facing young girls/women in society today?
Other Language:
Volunteer Status
Notes
Should be Empty:

Volunteer Interest Form