Volunteer Interest Form

Volunteer Interest Form

Thank you for your interest in volunteering with us! Please fill out the form below to help us understand how you'd like to contribute.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age Range (under 18 parental consent required)*

18-2425-4041-6060+
What areas are you most interested in volunteering with? (Select all that apply)*

Legacy Youth Program (mentorship, workshop support)Sacred Healing Support (grief groups peer lead support)Community Events (setup, tabling, vendor coordination)Media & Storytelling (photography, video blog/social media)Other (please describe)
Availability

Please select the days you are available to volunteer.
Days Available*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Skills and Experience

Tell us about your background & strengths
Do you have any experience working with youth, grief support, or community programs? *
Any special skills? (Public speaking, event planning, tech?)*
Lived experience that fuels your passion to volunteer? *
Consent & Safety
Are you 18 or older? Yes/No (Note: volunteers under 18 may need parental consent for certain roles)*
Do you agree to complete a short orientation? Yes/No *
Are you comfortable with being recorded or photographed at events? Yes/No *
Background check required for Mentorship & Youth roles. Yes I agree/No I do not wish to work with youth*
Emergency Contact Information

In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.
Any comments, questions, or ideas you would like to share?
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Volunteer Interest Form

Availability

Skills and Experience

Consent & Safety

Emergency Contact Information