volunteer registration form
First name
Your answer
Preferred name
If you go by a different name than your first name, please put that here.
Your answer
Last name
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Primary email address
Your answer
Primary phone number
Your answer
Emergency contact name
Please state your relationship to this person.
Your answer
Emergency contact phone number
Your answer
Street address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Faith Community
Are you part of a church or other community of faith? We ask because we like to build relationships with these groups.
Your answer
Skills/interests/hobbies
Share about any interests you want us to know, especially if you think they could be part of the Reality community.
Your answer
Allergies
Please let us know if you have any allergies, especially food allergies, so we can accommodate your needs and keep you safe!
Your answer
Other Health Info
Is there anything else we should know that will help us support you and keep you safe?
Your answer
Languages
Do you speak any languages besides English - including American Sign Language?
Your answer
Carpooling
Are you willing to give rides to other Reality community members to the program(s) or event(s) you're part of?
Buddy Time
Are you open to sharing time with a Reality participant outside of the regular programs, for a birthday, special occasion, or just because?
Background check
Have you been convicted of a crime, or do you have a deferred sentence, or do you have a pending legal case against you? If multiple options apply to you, please check the first one that applies. NOTE: You will be asked to complete a background check before you begin. However, a conviction, deferred sentence, or pending legal status does not necessarily prevent you from volunteering. Being transparent with us is very helpful.
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