Volunteer Intake Form

Volunteer Intake Form

Hey team member! Complete or update this form to the best of your ability so we have the most up to date info about you on file. It will take approximately 15 minutes to complete. Thank you!
Personal Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
T-Shirt Size
Pant Size
Men's or Women's Shoe Size
Please specify if your size is in men's or women's
Marital Status
Spouse's Name if Married
Emergency Contact Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Basic Role Information
Original Start Date serving with Type Zero

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you possess a Driver’s License and a good driving record?
If you answered yes, would you like to be added to the list of team members who are able to transport volunteers during a multi-location event or help provide a ride to a team member that needs it?
We have a zero tolerance policy on expressing inappropriate behavior and hateful speech towards certain groups of people. We define hateful speech as words, written or verbally, that are intended to put down, discriminate, express stereotypes, or hurt a person or group of people. We define inappropriate behavior as behavior, in person or online, such as substance or alcohol use, revealing clothing, and illegal activity. Because we believe all humans are valuable and we are here to do our part to take care of each other, failure to follow this policy WILL lead to immediate dismissal and termination of your role. Do you agree to adhere to this policy?
Select 1-4 Positions You're Interested and Available in Serving this Fiscal Year
If you have skills you'd like to provide as an expert, let us know about them and how you could contribute them to Type Zero:
Health Questionnaire
Are you impacted by diabetes?

Other
Please list all health conditions you have
We ask this so we can help keep our team safe
Please list any physical/mental health needs and food sensitivity needs you have. If you don't have any, type N/A.
It's important to us to provide reasonable accommodations for our team members
Do you understand that team members are expected to be working on improving their physical and mental health, and do you feel you are able to participate in our community activities that require physical activity, exercise, or challenging emotional conversations?
Availability
Please select your availability for the given days and time phases
Volunteers are required to attend regular team meetings for one hour every other week. One of them will be in person and the other will be virtual. Can you commit to meeting this requirement?
Dia-Elf Applicants Only: Boot Camp is mandatory and you cannot miss more than 1 out of 4 rehearsals. You'll have the option to choose either home visits, hospital visits, or both. Not following through will impact our reputation and ability to provide for the children. Do you acknowledge that you can meet this requirement?
Skills and Experience
Please indicate if you have any of the following skills or training

Other
Previous Experience that will help you in your role this year – Explain:
References

*If you are ONLY volunteering for a specific 4-6 hour community event, please skip this section.*
All other team members, please list the name of one personal or professional reference
Relationship
Phone Number
Email
Liability Waiver
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Volunteer Signature
Parent/Caregiver Signature (Required for youth volunteer applicants)
Should be Empty:

Volunteer Intake Form

Personal Information

Basic Role Information

Health Questionnaire

Availability

Skills and Experience

References

Liability Waiver