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Stronger & More Beautiful Together
Follow Us!
Are you interested in volunteering with Kintsugi Disability Support Network? Start here by filling out our volunteer application!
kintsugi_volunteer_application.docx
File Size:
359 kb
File Type:
docx
Download File
kintsugi_volunteer_application.pdf
File Size:
255 kb
File Type:
pdf
Download File
You can register to volunteer by printing out the application above or by filling out the online form below!
*
Indicates required field
Name
*
First
Last
Email
*
Primary Phone Number
*
Alternate Phone Number
*
How did you hear about us?
*
Do you have any past experience interacting with an individual that experiences an intellectual or developmental disability?
*
Yes
No
Please describe hobbies, skills, and/or previous volunteer or work related experiences that would be applicable to the Family Network's needs
*
Why are you interested in becoming a volunteer with the Family Network? What do you hope to gain out of the experience?
*
Which mornings (if any) are you available to volunteer?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Not available
If none, please check "not available"
Which afternoons (if any) are you available to volunteer?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Not available
If none, please check "not available"
Which evenings (if any) are you available to volunteer?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Not available
If none, please check "not available"
Are you at least 16 years of age?
*
Yes
No
Are you willing to submit to a background check and/or a drug screen?
*
Yes
No
Submit
