Volunteer Application Form
Contact Information
Name
First Name
Last Name
Preferred Pronouns
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Under which category do you fall under?
*
Patient
Caregiver
Supporter
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Background and Interests
Which team are you interested helping?
Fundraising
Research
Advocacy
Yoga Program
Mind & Body Workshops & Events
Disability Rights
Communications & Public Relations
Community Management or Social Media Moderation
Other
Do you have relevant experience you would like us to know about?
Commitment
Why would you like to volunteer with Long Covid Families?
How many hours per week would you like to commit to the mission:
Start Date
-
Month
-
Day
Year
Date
Are you comfortable attending virtual meetings?
Please Select
Yes
No
Possibly
Future Onboarding Information
What programs are you comfortable working with?
Google Workplace (drive, docs, etc)
Zoom and / or Google Meets
Slack
Trello
Canva or other graphic creation
Wordpress
Diversity
We are committed to creating a diverse team of individuals and perspectives.
I identify as: (select all that apply)
Chronically ill
Physically disabled
Caregiver of chronically ill person
Neurodivergent
Race other than white
Gender identity other than cisgender
Sexual orientation other than heterosexual
Other
Please tell us if any accommodations would help you succeed?
Board Member Application Only
If you are interested in serving on the Board, please add a picture and bio for the website.
BOARD POSITION ONLY - Please attach picture:
Browse Files
Drag and drop files here
Choose a file
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BOARD POSITION ONLY - Please write a Professional Bio for the Website (3-5 Sentences)
Submission
I am submitting my application to be on the Board of Directors. I understand that there are time commitments, funding requirements, and other requirements.
Please verify that you are human
*
Submit
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