Volunteer Registration Form

Name:

First NameMiddle NameLast Name

Pronoun(s)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

example@example.com

Phone Number*

Can we contact you with more information about volunteer opportunities?

YesNo

Are you over the age of 18?

YesNo

Some of our volunteers may be required to get background checks to work certain events. Are you willing to get the certifications necessary for special events and programs?

YesNoPossibly

Which types of programs and services do you prefer to volunteer for? You may select multiple options

Schuylkill County PrideFestVirtual SupportMentorship & TrainingGeneral Help

Do you have any special skills or background that you would like to share with the community? Tell us a little bit about yourself!

What is the best method to contact you?

EmailPhoneText

General Availability

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning
Evening
All Day

Y.E.S. welcomes participation by all people regardless of age, creed, gender, physical or mental disability, race, ethnicity, religion, and/or sexual orientation, and I agree I will engage in non-discriminationg behaviors by respecting all other participants. I understand that if I engage in any form of hate speech or anti LGBTQIA+ behavior determined by Y.E.S. and it's staff members this form will be rejected and I will be unable to serve as a volunteer for Y.E.S. Our organization serves LGBTQIA+ individuals of all ages including children. I agree that profanity and obscenity are prohibited, and understand that violators will be asked to leave, and disqualified from volunteering in the future.

By signing below, I acknowledge and agree to these terms*

Y.E.S. Volunteer Registration