Commitment to Community Volunteering with TPMG
Completing this electronic form will only take a few minutes. The information you share here is confidential and will be used only by Techos Pa 'Mi Gente (TPMG) for institutional purposes.
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Name *
Date of Birth *
MM
/
DD
/
YYYY
Name of Parent, Guardian or Legal Guardian
Only if you are under age (under 21 years of age according to the Civil Code of PR)
Telephone & Email of Parent, Guardian or Legal Guardian
Gender *
Organization to which you belong (if any)
Postal address *
Telephone/Cellphone *
Email #1 *
Days available *
Profession or occupation *
Health Insurance *
Health insurante company
Do you have any pre-existing conditions you wish to share with us that require some kind of reasonable accommodation?
Contact in case of emergency *
Relationship *
Telephone/Cellphone *
Do you authorize TPMG to take videos and photos while you perform community work for educational and publicity purposes of the organization? *
Work and Areas of Opportunity for Volunteering *
Check the options that represent the area in which you want to volunteer.
Required
I have read the Prevention and Mitigation Protocol (safety and hygiene) for Volunteers working with TPMG during the emergency caused by COVID-19 at the link: https://drive.google.com/file/d/1B2UOjx6cqrnXJ1Q5SWnwom14jkCu-y49/view? usp = sharing *
Required
Consent
Submitting this form is a legal consent with Techos Pa 'Mi Gente, certifying in addition to the information provided here in correct and true.
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