Volunteer With Us

Volunteer Name *

First Name

Last Name

Volunteer Date of Birth *

MM

DD

YYYY

Volunteer Phone *

Country

(###)

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Volunteer Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Volunteer Ethnicity/Race

Optional. For us to better understand our volunteers background and for grant writing purposes we ask that you share your Ethnicity/Race.

Hispanic or Latino

Not Hispanic or Latino

Black or African American

White

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

Multi-Racial

Are you available on Wednesday Evenings from 6:00 - 8:00 p.m.? *

Yes

No

Occasionally

Which additional days are you generally available to volunteer? (select all that apply) *

Monday

Tuesday

Thursday

Friday

Saturday

Sunday

I'm only available on Wednesday's

What time of day are you typically available on the days you selected above? (select al that apply) *

Morning (8:00 AM - 12:00 PM)

Afternoon (12:00 PM - 4:00 PM)

Evening (4:00 PM - 8:00 PM)

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

Country

(###)

###

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Background Check Consent *

I agree to a background check as a requirement to volunteer with Endless Opportunities.

Photo Consent

I approve of Endless Opportunities taking photos of me during meetings and special events for program promotional materials only.

Volunteer Signature *

I agree by typing my name that all the above information is accurate and completed to the best of my ability. I am aware that there will be additional information required for me to complete before full acceptance as a mentor with the program.

First Name

Last Name

Today's Date *

MM

DD

YYYY