Volunteer Sign-up form Together, We’re Changing Lives Roots for Resilience thrives through community support and volunteer involvement. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Cell Phone *Home PhoneHow did you find out about our organization?Direct mailAdvertisementOnline SearchFriend / FamilyBusiness ColleagueOtherHow many hours per week would you be able to dedicate?3 hour or less3 to 5 hours5 to 10 hours10 to 20 hours20 or more hoursWhat days of the week are you available?MondayTuesdayWednesdayThursdayFridaySaturdaySundayWhich types of programs are you interested in volunteering for?HomelessnessMissing PersonsHuman TraffickingLegal AssistanceAdvocacyEvent SupportFundraising AssistanceSocial Media SupportMental Health SupportOutreach Services - RemoteOutreach Services - Personal InteractionAdministration SupportPhotographyInvestigative SupportOtherPlease list any relevant experiences you have that you feel would benefit any of the above programs or events.What is your work preference?Remote - I have my own computer/laptop and/or cell phone if requiredRemote - I do not have my own computer/laptop and/or cell phoneOnsite at an AIDBIPOC locationOtherplease select one onlyEarliest Start Date *End of Availability (if applicable)Do you have any physical or mental limitations? If so, please explain here:Employment InformationCurrent or Last EmployerDirect Supervisor NameFirstLastDirect Supervisor Work PhoneDirect Supervisor Work Email *Employer AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer Website / URLDate of HireDate of Separation (if applicable)Number of Hours Worked Per WeekIs there any additional information about yourself that you would like to share with us?CommentSubmit
