Volunteer Application
Email *
Full Name *
Be sure to include your first and last name.
Telephone Number *
Emergency Contact: *
Include the individual's name, telephone number, and their relation to you.
Community Affiliations (Clubs, Service Organizations, etc.) *
Insert "N/A" if not applicable.
Are you a birth worker? *
Were you interested in membership into the ADC? *
Tell us about yourself and why you would like to volunteer with our organization. Please be as detailed as possible and include any information you feel is relevant to our organization. *
Please select which days you are available: *
Check all that applies.
Required
Do you have any physical limitations? *
As a volunteer for the Atlanta Doula Collective (ADC) I agree to abide by all organizational policies and procedures and state and federal laws. I understand that I will be volunteering at my own risk and that the ADC, its affiliates and employees cannot assume any responsibility or any liability for accident, injury or health problem which may arise from any volunteer work I perform for the ADC. I agree that all the work that I perform is on a volunteer basis. *
Required
A copy of your responses will be emailed to the address you provided.
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