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General 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)
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Background Information
I am interested in volunteering in the following volunteer opportunities:
*
Office Administrative
Events
Youth activities
Fundraising
Other*
SafeZone training
Support group faciliator
*Other (write in)
Degrees/Certificates
*
Organization/Employer
*
What brought you here to the LGBTQ+ Center Lake County?
*
What are your future growth goals, career goals? Is there some way a working experience here at the Center could help you achieve these goals?
*
LGBTQ+ Center Lake County performs background checks on all volunteers. Do you consent to a background check?
*
Yes
No