Volunteer Coordinator Availability Update
This form will be used to assess your availability to staff upcoming projects.
Contact Information
Full Name
*
First Name
Last Name
Email (Please use the email address you were sent this form to)
*
example@example.com
Mobile Phone Number
*
-
Area Code
Phone Number
Current Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Current Shipping Address (If different than Home Address)
Street Address
Street Address Line 2
City
State
Zip Code
Availability
What is your availability to be a Volunteer Coordinator?
*
I am interested and available
I am intersted but have limited availablity
I am interested but currently unavailable
I am not interested in being a Volunteer Coordinator at this time
What is your general schedule availability?
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Availability
Any additional notes about your availability ?
How flexible is your current work/personal schedule?
*
1
2
3
4
5
Not Very Flexible
Very Flexible
1 is Not Very Flexible, 5 is Very Flexible
Are you able and willing to travel to events?
*
Yes
No
How often would you like to work as a Volunteer Coordinator?
*
As often as needed
Once per week
Once per month
Once per quarter
Interest
What type of projects are you interested in staffing? (check all that apply)
*
Virtual (Requires strong internet connection, VCs should be comfortable on camera)
On-Site Engagements (In person at client's office)
Community Engagements (In person at a nonprofit or community space)
Disaster Rebuild Deployments (In person, multi-day commitment)
How comfortable are you leading groups of people in person?
*
1
2
3
4
5
Very Uncomfortable
Very Comfortable
1 is Very Uncomfortable, 5 is Very Comfortable
How comfortable are you leading groups of people virtually on Zoom ?
*
1
2
3
4
5
Very Uncomfortable
Very Comfortable
1 is Very Uncomfortable, 5 is Very Comfortable
What skills would you feel comfortable leading others to do? (check all that apply)
*
construction
landscaping
sewing
painting
arts & crafts
furniture assembly
gardening
bike assembly
demolition
community cleanup
workforce development/skills workshop
We want to explore other projects that tap into your unique skillsets & interests. Please share any projects you would love to staff. (Think Creatively)
(Ex: Travel Logistics Coordinator to assist with managing all hotels/travel for Disaster Relief Deployments).
General Requirements
Note: VC's staffing in-person events will be required to be fully vaccinated against COVID-19. Some in-person engagements may also require VC's to be masked, regardless of vaccination status. What is your COVID-19 vaccination status?
*
I am fully vaccinated
I plan to be vaccinated before 2022
I do not plan to get vaccinated
I prefer not to share my vaccination status
Are you comfortable driving a cargo van?
*
Yes
No
Are you comfortable driving in a city?
*
Yes
No
Are you able to lift at least 25lbs?
*
Yes
No
Is there anything Break A Difference can do to support you or any questions you have?
Ex: I need professional references for an upcoming job opportunity.
Submit
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