Quiet Storm 2021 Volunteer Confirmation
Hello Quiet Storm Volunteers! You are the force behind the success of Quiet Storm and we Thank You! We have an exciting year ahead and we wanted to use this opportunity to ensure we have your correct contact information, and to confirm that you would like to participate as a volunteer for 2021. We're excited to continue building and STRENGTHENING the underrepresented youth within the Las Vegas communities, with your help!
Email *
Are you interested in continuing as a Quiet Storm Volunteer and positively impacting your community? Once we have event dates confirmed, we will contact you in advance to see if you can accommodate the date and time. If you select 'Yes,' please fill out the remainder of the form. If you select 'No,' you do not have to provide any further information. *
Please enter your first and last name *
Best phone number to contact you? (XXX) XXX - XXXX *
Best email to contact you? *
Current Address (Street, Apartment #) *
City *
State (e.g. California; please spell out) *
Zip Code *
Are you currently employed? *
If you are employed, please provide full name and address  of your employer.                                                 E.g. Quiet Storm Foundation, 718 S 8th St, Las Vegas, Nevada  89101, (702) 778-3315
Do you have any disabilities, injury or illness that would prevent you from volunteering? *
 If you answered 'Yes' to the above, please explain to ensure we accommodate your needs:
Have you ever been convicted of a misdemeanor, gross misdemeanor or felony? *
 If you answered 'Yes' to the above, for EACH conviction, please provide the following:  1. Date (XX/XX/20XX), 2. Location (city & state), 3. Nature of offense, 4. Disposition (paid fine, time served, etc.). Please be sure to include any conditions of your probation, if applicable. DUI, reckless and careless driving convictions MUST be included. A criminal does not necessarily preclude from becoming a volunteer; each case is considered on its individual merits.
BY TYPING MY FULL NAME AND TODAY'S FULL DATE (XX/XX/2021) I CERTIFY THAT THE STATEMENTS  MADE BY ME ON THIS APPLICATION ARE TRUE, COMPLETE AND CORRECT. I UNDERSTAND THAT ALL VOLUNTARY ASSIGNMENTS ARE SUBJECT TO THE SUCCESSFUL COMPLETION OF BACKGROUND CHECK AND / OR DRUG SCREENING AS REQUIRED. *
Do you have family or friends who would also like to be added as a volunteer? Please provide full name and email for any individuals added. The more the merrier!
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