Self Care Volunteer Interest Form
Thank you for your interest in volunteering with us. Counter Balance: ATX exists to serve underserved and marginalized communities from the perspective and under the leadership of womayn (self-identified woman) of the African Diaspora. We rely solely on volunteers so the work that we do would not be possible without people like you believing in the work that we do. In order for us to do community work in a sustainable, please fill out the form below in order for us to utilize your talents, skills, and interest in the most productive way. You will be contacted by a member of the CBATX Self Care team within 48 hours of completing this form.

If you have any questions about volunteering or this form please email us at selfcare@counterbalanceatx.org
Name *
Your answer
Phone Number *
Your answer
Age *
Zip code *
Your answer
What is your ethnicity? (Please select all that apply) *
Required
Email *
Your answer
What CBATX Self Care Program or Event would you like to volunteer for? *
Required
Why would you like to volunteer with the program you have selected? *
Your answer
How did you hear about Counter Balance? *
Your answer
How did you hear about the program you have selected to volunteer for? *
Your answer
How are you interested in aiding Counter Balance: ATX? (Please select all that apply) *
Required
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