Interest Form

Dare Patriots - Volunteer Application Form

Complete this form carefully to express your interest volunteer interests in Dare Patriots. All responses will be handled confidentially and reviewed internally and you should submit only if you are prepared to complete every section accurately. Participation in this group is selective. Information provided is used solely for review purposes. Submission does not guarantee acceptance.
Applicant Information
Full Legal Name
Preferred/Nickname
Email Address
Phone Number
How did you find us?
Are you being sponsored by an active Dare Patriot?

Sponsoring Patriot's Name / Phone or Email

Reference Two: Name / Relationship / Phone or Email

City

Postal / Zip Code
Are you being sponsored by an active Dare Patriot?

Sponsoring Patriot's Name / Phone or Email

Reference Two: Name / Relationship / Phone or Email

City

Postal / Zip Code
If you do not have a sponsor, please provide references:

Reference One: Name / Relationship / Phone or Email

Reference Two: Name / Relationship / Phone or Email

City

Postal / Zip Code

Every applicant arrives here because something has shifted from concern to action. What has brought you to this moment, and what have you had enough of?
Beyond frustration, what do you believe constructive grassroots action should look like, and what role do you hope to play in it?
Please list any special skills, life experience, professional knowledge, hobbies, resources or passions
Availability and time commitment (please share your realistic availability each week or month, there are no wrong answers).
Areas of Interest (select all that apply)

Other

Confidentiality Acknowledgment
Please review and acknowledge the statements below before continuing.
By signing and submitting this application, I acknowledge that I have carefully reviewed and wholly understand the rules, standards, confidentiality requirements and critical anonymity expectations governing this organization. I further acknowledge that participation is contingent upon strict adherence to these requirements and that any breach may result in immediate removal.
Full Legal Name
Signature
Date

MonthDayYear
Date
Should be Empty:

Dare Patriots - Volunteer Application Form