Chicago Juneteenth 2023 Volunteer Form
Complete this form to volunteer with the Chicago Juneteenth Planning Coalition (CJPC). Your entry will be reviewed and followed up by a CJPC Organizer. For additional information, visit: www.ChiJuneteenth.org

If you have any questions or concerns, email: 📩 ChicagoJuneteenth@gmail.com  

Sign in to Google to save your progress. Learn more
Email *
First Name *
Please write your full first name
Last Name *
Please write your full last name
Phone Number *
Is this phone a cell?
Clear selection
Are you a Black American Descendant of U.S. Chattel Slavery? *
What is your age range? *
Are you a high schooler or college student looking for service hours? *
What is your zip code? *
Where would you like to volunteer?
Check all that apply.
What times are you available?
Please select all that apply
Morning
Midday
Afternoon
Evening
Social Media & Outreach Support Before Juneteenth Weekend
Saturday, June 17th
Sunday, June 18th
Monday, June 19th
Which volunteer activities are you interested in? *
Required
Please list any relevant skills and certifications you have related to the volunteer activity you selected above.  *
If you have a certification such as CPR, please also provide your expiration date.  
What is your T-shirt Size? *
Please note that T-shirts may be provided in men sizes 
Are you available to attend a virtual volunteer orientation, Monday, June 5, 2023 from 7:30 PM - 8:30 PM?  *
Any other comments and/or questions?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms