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Volunteer Form
Contact Information
Name
First Name
Last Name
Email
Verify Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Date of Birth
(mm/dd/yyyy)
Organization/Employer
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
I'm interested in volunteeering in the following programs:
Office Administration
Events
Youth activities/mentorship
Fundraising
SafeZone training
Support group facilitator
Organization/Employer
What brought you here to LGBTQ+ Center Lake County?
What are your strengths, and how would you like to use them here at The Center?
What special skills do you have that could benefit The Center?
LGBTQ+ Center Lake County performs background checks on all volunteers. Do you consent to a background check?
Yes
No