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?
*
If yes, by when do your hours need to be completed?
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:
Please list any other SKILLS you would like to share with COMPACT:
Days available to volunteer?
*
Please select all of the days that you would be available to volunteer/intern.
Availability (We offer limited hours)
*
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.
