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Adult Volunteer Form

According to the National Alliance on Mental Illness (NAMI), volunteering can reduce stress, increase happiness, develop confidence, and help find purpose. The LeaderShop provides a multitude of volunteer opportunities that not only allows volunteers to make a difference in the community and in the lives of our youth, but also make a positive impact in the lives of our volunteers.

We have a variety of volunteer opportunities throughout the year including: serving as an adult volunteer at an After School Program, assisting with fundraising events, and more. The first step to joining us in making a difference is to fill out the form below. (If you are interested in becoming a Mentor, there is a separate form. Please return to our website and click Adult Volunteer Opportunities --> Mentoring).

If you are interested in pursuing a role as a volunteer with our organization, please fill out the form below and Cathy Pierson, Director of Volunteer and External Relations, will reach out to you.

Contact Information

Name

First Name

Last Name

Birthday

(mm/dd/yyyy)

Verify Email

Cell Phone Number

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How did you learn about The LeaderShop?

Why are you interested in volunteering at The LeaderShop? What personality factors and skills do you possess that you can share with us that you would bring to the table as a volunteer?

What programs and volunteer opportunities are you interested in?

Adult After School Program Volunteer

Mentoring Program

Special Events (Party4Youth, 5K, Halloween Party, Trivia Night, etc)

Board of Directors Committee Member

Please list any current or previous volunteer work you've participated in as well as the duties you were assigned.

Do you speak an additional language? If so, what language?

Do you drive and have regular access to a vehicle?

I drive and have my own vehicle

I drive and have access to someone else's vehicle when needed

I do not drive

Have you ever been convicted of a crime (other than a traffic violation)? If so, what was the date and charge?

Please list 3 references (name and email addresses):