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Welcome to Project Optimism, Inc.!
Thank you for your interest in being a Positive Image with our organization. Before we welcome you to the PO family, we’d like to get to know you. Please note that all of your information will remain confidential!

***Every volunteer opportunity goes through this form. You will receive a follow up email with details for the up and coming event to give back.****

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Full Name *
Phone Number *
Email Address *
Please confirm your email address *
Date of Birth *
Region of interest *
Required
Gender Identity
Clear selection
Pronouns *
Required
Do you need any specific accommodations? *
Race/Ethnicity (select all that apply)
City/State/Zip Code *
Where are you interested in volunteering? *
What is your t-shirt size? *
Educational Background *
Required
Which of the following best describes your professional industry?
Clear selection
Social media handle(s) [i.e. Instagram, Facebook, etc] *
Why do you want to volunteer with Project Optimism? *
What needs do you have in your community that you would like to see resolved? *
Required
Emergency Contact Full Name: *
Emergency Contact Relationship: *
Emergency Contact Phone Number: *
How did you hear about the PI Community? *
By submitting this form, you agree to allow Project Optimism to use pictures and videos taken of you, to be used in our marketing efforts (social media, website, etc...) *
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