The Collective Coalition Volunteer Interest Form
Tell us about yourself and what you can offer to our team! We would love to have you.
Name
First Name
Last Name
The pronouns I use are
blanks
.
When is your Birthday?
-
Month
-
Day
Year
Add you to the Birthday list :)
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is the best way to contact you?
What part of the LGBTQ+ community do you identify with?
Put what feels comfortable to disclose. This information will not be shared with your name.
Do you identify as BIPOC?
What geographic region do you represent? City/neighborhood/school in San Diego
Have you ever participated in any coalitions/clubs? Feel free to list them.
What skills can you share with this coalition? Check all that apply.
Data Collection skills
Social media engagement
Website maintenance
Public Speaking skills
LGBTQ+ Community engagement
Meeting Leadership/ feedback
Mentorship
Event Planning
Creativity
Other skills not listed? Talk yourself up. (ex: I am outgoing, I am a good observer, I take great notes, etc.)
Select any committees that sound interesting to you.
Event Support (assisting in planning and facilitating events)
Feedback (providing input regarding educational materials and social media)
Community Resource Network (supporting search for health and prevention resources)
Social Media (assisting on media outreach for socials and website)
Policy Work (assisting on policy input, feedback, and change with elected officials)
Campus Liaison (working to bring outreach to your college or university campus)
What would your time commitment look like?
Once a month (ex. events)
Twice a month (ex. planning meetings)
Multiple times per month (ex. media support)
Other
What is your preferred learning style? Check all that apply.
Visual- Pictures/ graphs
Auditory- Lecture/ music
Physical- Hands on/ movement
Logical- Statistics/ numbers
Social- Collaboration/ team
Solitary- Independent/ individual
Verbal- Presenting/ writing
Why do you want to join this coalition?
Any other questions or feedback?
Submit
Should be Empty: