VOLUNTEER FORM -- RESPOND in ACTION!
Confidentiality Notice: the information contained and shared in this form and any attachments is confidential. You are hereby notified that by sharing your information with QUANvolunteers@gmail.com & FOR GOODNESS SAKE it will be protected and will be held to the strictest confidentiality. Personal information provided here will only be shared with our affiliates or other trusted businesses or persons to process it for use with volunteer activities, based on our instructions, your consent, and in compliance with our Privacy Policy and any other appropriate confidentiality and security measures. You are hereby notified that any dissemination, distribution, or copying of this information outside of community and volunteer organizing is strictly prohibited.

- QUAN LATEEF-HILL (QUANvolunteers@gmail.com) / FOR GOODNESS SAKE | Aug. 15, 2014
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FIRST NAME *
LAST NAME *
BIRTHDATE *
MM
/
DD
/
YYYY
GENDER
CURRENT LOCATION *
i.e.: "City, State"
EMAIL ADDRESS *
PHONE NUMBER *
CAN YOU RECEIVE TEXT MESSAGES? *
Required
HOW DO YOU PREFER WE CONTACT YOU? *
Required
ONLINE SCREENNAMES:
Facebook/Twitter/Instagram/etc.
PLACES YOU ARE WILLING TO TRAVEL
LANGUAGE SKILLS
List languages spoken besides ENGLISH. Please note whether: Fluent, Conversational, Functional, Beginner
WHAT ISSUES INTEREST/CONCERN YOU? *
Community/Grassroots based issues. Check all that apply
Required
WHAT CAN YOU CONTRIBUTE? *
Check all that apply
Required
WHAT SKILLS CAN YOU PROVIDE? *
Check all that apply
Required
LIST ANY PROFESSIONAL LICENSES YOU HOLD:
WHAT DAYS ARE YOU AVAILABLE? *
Check all that apply
Required
HOW MANY HOURS A WEEK CAN YOU WORK? *
SHARE A LITTLE BIT ABOUT YOURSELF *
APPEARANCE RELEASE *
By clicking "YES" below you agree if you attend an event you understand you may be photographed or video & audio recorded, and the images/sound can be used by QUANvolunteers@gmail.com/FOR GOODNESS SAKE for associated nonprofit purposes. We will not sell your image!
Required
OPT IN PRIVACY STATEMENT *
By clicking "YES" below you agree to share your personal information with QUANvolunteers@gmail.com/FOR GOODNESS SAKE and our affiliates or other trusted businesses or persons to process it for use with volunteer activities. Additionally, you will have the opportunity to join a monthly mailing list of activities taking place around the US. We will not sell your information!
Required
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