Kids in Tech Volunteer Interest Form
Thank you for showing interest in volunteering with Kids in Tech! Please fill out this form and we will get back to you as soon as we can with more information.  Contact Mia Shepherd, Program Manager, at mshepherd@kidsintech.org with any questions.
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Email *
Name (First and Last) *
Phone number *
Home address *
Date of birth *
MM
/
DD
/
YYYY
Languages spoken *
Current Occupation/Field of study *

Employer Name & Location (city)


*
Any medical conditions you would like us to be aware of? *
Emergency Contact (name and number) *
How did you hear about our program? Please check all that apply. *
Required
Availability (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends
Mornings
Afternoons
Evenings
Is there a time of year that is best for you? *
Required
Location preference *
Required
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