Volunteer Application
Share your details, availability, and interest so Living Room can follow up to schedule a short conversation.
About You
Full name
*
First Name
Last Name
Preferred name / what should we call you?
Pronouns
Email
*
example@example.com
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 18 or older?
*
Yes
No
Availability
Which days/shifts could you generally volunteer?
Tuesday 12–4pm
Tuesday 4–8pm
Wednesday 12–4pm
Wednesday 4–8pm
Thursday 12–4pm
Thursday 4–8pm
Friday 2–6pm
Friday 6–10pm
Saturday 2–6pm
Saturday 6–10pm
How often would you like to volunteer?
Please Select
Weekly
A few times a month
Once a month
Not sure yet
About Your Interest
Why are you interested in volunteering at Living Room?
*
Have you volunteered or worked in a peer support, harm reduction, healthcare, or LGBTQ+ community setting before? If so, briefly describe.
Living Room serves people navigating methamphetamine use, chemsex, and substance use, with a focus on the LGBTQ+ community. Are you comfortable working in this environment?
*
Yes
No
A Few Acknowledgments
I understand this role does not involve clinical work, case management, or access to client health records.
*
I acknowledge
I agree to keep confidential who I see at Living Room and anything I learn while volunteering.
*
I agree
Contact & Signature
Emergency contact name and phone number
*
How did you hear about this opportunity?
Please Select
Flyer/QR code
Living Room website
Friend/referral
Community event
Other
E-signature
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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