Name
*
First Name
Last Name
Date of Birth
*
Please select your pronouns
Choose One
She/Her/Hers
He/Him/His
They/Them/Theirs
Race/Ethnicity:
Phone
*
(###)
###
####
Email Address
Additional Notes (if any)
How did you hear about us?
*
School & Major (if applicable)
Are you interested in volunteering to fulfill a course requirement
*
What is the name of the course (if applicable)?
Are you willing to do more service hours than your course requires (if less than 30 hours)?
*
Minimum Hours Needed (if applicable)
Why do you want to volunteer with COMPACT?
*
Emergency Contact
*
Please provide us with their name, relationship to you, and phone number.
The following is a list of volunteer positions and activities at COMPACT. Please mark the position/activity you would LIKE to do:
*
The following is a list of volunteer positions and activities at COMPACT. Please mark the position/activity you are SKILLED at doing:
What are some of your hobbies/interests?
*
Please list any other SKILLS you would like to share with COMPACT:
Are there any activities/events that you would prefer not to deal with?
Days available to volunteer?
*
Please select all of the days that you would be available to volunteer/intern.
Availability
*
Please select all of the time slots that you would be available to volunteer/intern.
Are you applying to be a Project Hero Mentor? If so, please answer the next few questions indicated as (Optional), otherwise please move on to the Agreement & Consent Section
*
Select One
Yes
No
(Optional) What is your occupation?
(Optional) Please indicate which groups you would like to work with:
(Optional) Would you prefer working with...
(Optional) What is your religious affiliation (if any)
(Optional) Would you be comfortable mentoring a youth from a different religious background than you?
Have you ever been affiliated with a gang?
*
Yes
No
Agreement & Consent
*
In the space below, please provide use with Reference #1. You should include their name, relationship, and phone number.
*
In the space below, please provide use with Reference #2. You should include their name, relationship, and phone number.
