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New Volunteer Form
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14
Questions
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1
What's Your Name?
First Name
Last Name
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2
Email?
example@example.com
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3
Phone Number?
Area Code
Phone Number
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4
Emergency Contact Name
First Name
Last Name
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5
Emergency Contact Number
Area Code
Phone Number
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6
Are you interested in being part of the planning committee for the RISE LGBTQ Mentorship Program?
*
This field is required.
YES
NO
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7
Which Position are you interested in ?
Social Media/ Marketing
Workshop Volunteer (Limited Availability)
Workshop Volunteer (Full Availability)
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8
Do you have any Felonies or Misdemeanors on your record? (This will not disqualify you from volunteering but it may limit what volunteer opportunities you are eligible for. Not reporting will make you ineligible to volunteer with our organization)
YES
NO
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9
Can you explain what occurred and the date of occurrence ?
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10
Do you have any medical conditions you would like to share with us ?
YES
NO
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11
Can you explain anything we would need to know in regards to your medical condition? (Medicines, General Epipen location, etc).
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12
What would you do to make Richmond a better place for all ?
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13
Have you volunteered with PatchworkRVA (formally known as Richmond Action Alliance) before?
YES
NO
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14
Have you ever volunteered with a non profit before? If so, how was your experience and what was the non profit about?
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