LeadHers Connect Inc. Volunteer Registration Form
Full Name
*
First Name
Last Name
Preferred Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
ZIP Code
*
Age Group
*
18+
Under 18
Preferred Contact Method
*
Phone
Text
Email
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you registering for a specific opportunity or joining the general volunteer list?
*
Specific opportunity
General volunteer list
Volunteer Details
Volunteer Experience & Skills
Photo Permission
Yes
No
Required Acknowledgements
*
I will follow safety instructions
I will notify LeadHers if I cannot attend
I understand submitting this form does not guarantee placement in every opportunity
Have you volunteered before?
Yes
No
If yes, where?
Availability
What days are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you available?
Morning
Afternoon
Evening
Weekends
Volunteer Interests
Park Stewardship & Cleanup
Community Outreach
Community Events
Resource Research
Resource Distribution/Assembly
Partner Service Projects
Event Setup/Cleanup
Administrative Support
Community Resource Support
Wherever Needed
Other
Other
Show Up. Serve. Connect. 💜
If you selected 'Other', please specify
Skills & Experience
What skills can you bring to LeadHers Connect?
Do you have experience working with youth?
Yes
No
Do you have CPR or First Aid certification?
Yes
No
Background & Safety
Are you willing to complete a background check if required?
Yes
No
Do you have any concerns we should be aware of?
Final Questions
How did you hear about LeadHers Connect?
Facebook
Instagram
Friend/Family
Flyer
Event
Other
Anything else you want us to know?
Submit Volunteer Application
Should be Empty: