Volunteer Application Form for Non-Profit

GenTech Empowerment Inc.

Volunteer Application Form
This is a nonprofit organization that provides an IT education, mentorship, job skills, and community development opportunities to those who, due to the circumstances of their lives, have been deprived of the resources to further their education and change the outcome to their future.

We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided through this form will be kept confidential and will help us determine the
most satisfying and appropriate volunteer opportunity for you.
Name

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
College/School
Department/Field
Current or Most Recent Occupation
Company
Department/Position
In which areas would you like to volunteer?
Which of the volunteering activities interest you?
Do you have any volunteering experience? If yes, please describe.
Select your available days

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
From

Hour Minutes

AM/PM Option
To

Hour Minutes

AM/PM Option
Additional notes about your schedule
Background questions: Have you been convicted of any crimes involving children? If so, please explain below

YesNo
Please explain below:
I agree that all the information stated is true. If anything reported is found to be incorrect I acknowledge that I will be immmediately disqualified from being selected.
Date

MonthDayYear
Date
Signature

Powered by Jotform SignClear
Should be Empty:

GenTech Empowerment Inc.

Educational Background

Current or Most Recent Occupation