Section 1 of 5
Save Our Selves (SOS) Interest Form
Thank you for your interest in joining the SOS community! Please fill out this form to let us know how you'd like to contribute to our mission.
What is your name?
What is your name?
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Email address
Email address
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I'm interested in...
Select all that apply.
I'm interested in...
Select all that apply.
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Joining the Mailing List / Receiving Updates
Volunteering with Save Our Selves
Becoming a Program Participant
Supporting Community Events or Special Projects
Learning More Before Deciding
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or
add "Other"
…
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Section 2 of 5
Mailing List & General Supporters
Only complete if interested in receiving regular communications and updates. Skip to the next section if not applicable to you.
What kinds of updates would you like to receive?
Select all that apply.
What kinds of updates would you like to receive?
Select all that apply.
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Upcoming Events
Volunteer Opportunities
Program Updates
Trainings / Workshops
Advocacy and Action Opportunities
Donation / Fundraising Campaigns
Other:
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…
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Section 3 of 5
Volunteer Participation
Only complete if interested in volunteering. Skip to the next section if not applicable to you.
What volunteer opportunities are you interested in?
Select all that apply.
What volunteer opportunities are you interested in?
Select all that apply.
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Event Support
Outreach and Community Engagement
Administrative Support
Facilitation or Workshop Support
Fundraising Support
Peer/Community Support
Other:
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Please share any relevant skills, experiences, or interests you would like to contribute.
Please share any relevant skills, experiences, or interests you would like to contribute.
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Grant Writing/Fundraising
Social Media Management/Marketing
Graphic Design/Content Creation
Web Development/IT Support
Event Planning/Coordination
Public Speaking/Training
Data Analysis/Research
First Aid/Emergency Response Training
General Labor/Hands-on Field Work
Other:
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…
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Save Our Selves currently operates out of Boston, MA and is growing into Springfield and Worcester. What regions are you interested in supporting?
Select all that apply and/or write in your own geographic area(s).
Save Our Selves currently operates out of Boston, MA and is growing into Springfield and Worcester. What regions are you interested in supporting?
Select all that apply and/or write in your own geographic area(s).
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Boston, MA
Springfield, MA
Worcester, MA
Other:
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…
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What kinds of volunteer opportunities are you interested in?
What kinds of volunteer opportunities are you interested in?
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One-time volunteer opportunities
Ongoing volunteer involvement
Unsure at this time
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or
add "Other"
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Please describe briefly why you are passionate about the mission of SOS and what you hope to gain from volunteering.
Please describe briefly why you are passionate about the mission of SOS and what you hope to gain from volunteering.
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Section 4 of 5
Program Participation
Only complete if interested in becoming a program participant. Skip to the next section if not applicable to you.
What types of support, activities, or opportunities are you most interested in?
Select all that apply.
What types of support, activities, or opportunities are you most interested in?
Select all that apply.
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Drop-in Spaces
Workshops or Trainings
Peer Support / Community Connection
Leadership Development
Advocacy / Community Organizing
Educational Resources
Creative or Wellness Activities
Other:
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…
Answer key
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Save Our Selves currently operates out of Boston, MA and is growing into Springfield and Worcester. What regions are you interested in being involved in?
Select all that apply and/or write in your own geographic area(s).
Save Our Selves currently operates out of Boston, MA and is growing into Springfield and Worcester. What regions are you interested in being involved in?
Select all that apply and/or write in your own geographic area(s).
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Boston, MA
Springfield, MA
Worcester, MA
Other:
Add option
…
Answer key
(0 points)
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What interests you about this program?
What interests you about this program?
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Section 5 of 5
Thank you for your interest in joining the SOS community!
Do you have any questions or is there anything we did not ask about that is important to you to share?
Do you have any questions or is there anything we did not ask about that is important to you to share?
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How did you hear about Save Our Selves (SOS)?
How did you hear about Save Our Selves (SOS)?
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Social Media (Facebook, Instagram, etc.)
Word of Mouth
SOS Event/Workshop
Community Event
Online Search/News Article
University/School Program
Existing SOS Volunteer/Staff
Other:
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…
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