The GLO Center: Volunteer Application
Preferred Name *
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Last Name *
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Legal Name *
*The GLO Center will always respect your preferred name, but please provide your legal name for background check purposes.
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Phone Number *
Please use the following format: 417-555-5555.
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Email Address *
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Street Address *
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City *
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State
Zip Code *
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Preferred Method of Contact *
If there are only certain safe hours that you may be reached, please include those details in the "other" box.
Required
What (if any) reasonable accommodations might you need to perform volunteer duties?
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Race *
Please select all that apply.
Required
Gender *
Sexual Orientation *
Date of Birth *
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Have you ever been convicted of a felony? *
Emergency Contact *
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Emergency Contact Phone *
Please use the following format: 417-555-5555
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Reference 1 *
Please include first and last name for your references.
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Reference 1 E-mail *
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Reference 2 *
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Reference 2 E-mail *
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Reference 3 *
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Reference 3 E-mail *
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Interests *
Please select all that apply.
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What are you looking to gain/achieve by volunteering at the GLO Center? *
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What sort of impact do you personally want to make within our community? *
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Please indicate which of the following additional skills you could offer as a volunteer. *
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What days are you available? *
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What is your general availability? *
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What time of day do you tend to be free? *
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How often would you like to volunteer? *
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Signature *
By providing your electronic signature, you are acknowledging that acceptance of volunteer applications is at the discretion of the Gay and Lesbian Center of the Ozarks. The GLO Center will not share your volunteer information, but may retain it for contact or recruitment purposes in the future.
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Today's Date *
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