DRMI Volunteer Application Form (General)

DRMI Volunteer Application Form
Name

First NameLast Name
Are you over age 18?

YesNo, individuals under 18 can volunteer for the DRMI Geeks & Gramps Program. Parental approval is required and please use the DRMI Geeks & Gramps Volunteer Form: https://form.jotform.com/drmiusfl/ggs-volunteer-waiverrelease-form
If you answered yes above, what is your birth month & year?
Which Program are you interested in volunteering for?

Geeks & Gramps Adult Volunteer or Older Adult MentorGeeks & Gramps Senior Moments Presenter (complete applicable information and we will call you directly)Administrative/Office ManagementAnnual Community Event (i.e., Frenchtown Renaissance community resources, or Street Corner Giveaway for the homeless)Marketing/PublicityPrison/Reentry/Court-ordered clientsCourt-Ordered Community ServiceFundraising
Do you have experience working in the field or with the population you noted above?

YesNo
If you answered yes to the question above, please explain your experience.
Days of Availability to Volunteer or (to Present for Senior Moments)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Available Times to Volunteer

Mornings (9 am-noon)Afternoons (noon-5 pm)Evenings (5-7pm)
What date are you available to start volunteering/Community Service?

MonthDayYear
Date
Skills

Advertising/MarketingSocial MediaYouth DevelopmentElder/Older Adults DevelopmentReturning CitizensIncarcerated IndividualsLaw & Human RightsAdministrative/Office ManagementTechnology/ComputersOther
Other Skillsets or Area of Interests
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number
E-mail
example@example.com
Please provide the name/email/phone number of two references (personal or professional), as applicable.
If interested in volunteering directly with youth, a background check is required. Are you willing to complete a background check?

YesNo
***If you are a court-ordered community service client, please type the name and phone number of the court appointed officer that referred you.
Feel free to upload your resume if you have one (optional)

Cancelof
Consent to Photograph /Videotape / Interview Individuals Please read, date and provide your signature below. (NOTE: THIS SECTION DOES NOT APPLY TO COURT-ORDERED COMMUNITY SERVICE INDIVIDUALS).

I hereby agree and give my permission for Divine Revelations Ministries, Inc. (DRMI), its subsidiaries, and/or partners to record, film, photograph, audiotape or videotape myself (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the DRMI website and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the DRMI’s control. I agree that I will not hold the DRMI responsible for any harm that may arise from such unauthorized reproduction.
Date

MonthDayYear
Date
Signature

Clear
OPTIONAL: DRMI collects self-reported demographic and other profile information in accordance with our Privacy Policy so that volunteers, program participants and clients of our community, regardless of diverse background or identity, are recognized. It is optional to answer any of the following questions.
What generation were you born in?

The Silent Generation: 1928-1945 (76-93 years old)Baby Boomers: 1946-1964 (57-75 years old)Generation X: 1965-1980 (41-56 years old)Millennials: 1981-1996 (25-40 years old)Generation Z: 1997-2012 (9-24 years old)
To which gender identity do you most identify?

FemaleMaleTransgender FemaleTransgender MaleGender Variant/Non-ConformingPrefer Not To AnswerNot Listed/Other
Which origin do you closely identify yourself in?

American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino or SpanishNative Hawaiian or Other Pacific IslanderWhiteOtherPrefer not to say
Any Additional Comments?
THANK YOU!
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