Diversity Uplifts, Inc: Volunteer Application
Please complete the application form below and click submit.  Once submitted, our team will review the information and contact you with next steps.  

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.  

Thank you for your interest and time!
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Email *
Name (First and Last) *
Address
Phone Number *
What is your tentative availability?
Morning (9:00am - 12:00pm)
Afternoon (12:00pm - 3:00pm)
Late Afternoon (3:00pm - 6:00pm)
Nights/Late
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What special skills or experiences you have acquired from work, volunteering, or other extracurricular activities that pertain to volunteering for Diversity Uplifts, Inc. Please select all that apply. *
Required
How did you hear about us?
Emergency Contact Information
Emergency Contact Name (First and Last) *
Emergency Contact Phone Number *
Emergency Contact Email Address *
Agreement and Signature
By checking the box below, I affirm that the facts set forth in this application are entirely true and complete.  I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.   *
Required
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