Volunteer Candidate Registration Form

ConqHer Volunteer Form

Thanks so much for having a desire to lift girls and women up. It's people like you who keep us growing to new places.
Name*

First Name Last Name
E-mail*
Birth Date*

Month Day Year
Phone Number*

Area Code Phone Number
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Please indicate areas to volunteer according to your skills. (Check all that Apply)*

Administration (Marketing, Clerical, Volunteer Management, etc...)Mentoring (one on one)Facilitating a Confidence Building SessionLeading Community Service ProjectCommunity LiasonEvent Planning/Management
How many hours are you willing to contribute quarterly?*

5101520
As a part of volunteering with ConqHer, we ask that everyone undergo a background check. Are you willing to do so?*

YesNo
The undersigned agrees not to disclose, copy, misuse or release any 'Confidential Information' that he/she may observe or have access to during the course of volunteering. The undersigned understands that the obligation under this agreement will continue after voluntary service is complete.*

I agree to this statementI do not agree to this statement
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ConqHer Volunteer Form