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AOT New York Volunteer Sign-Up Form
Welcome to the America On Tech (AOT) - NY Volunteer Sign up form!
We appreciate you being interested in supporting our programs. Once you have filled out the form below, a member of our program and partnerships team will reach out to schedule a time to connect.
If you have any questions, feel free to reach us at
hello@americaontech.org
Thanks so much!
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Cell Phone Number
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Your answer
Birthdate
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MM
/
DD
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YYYY
Gender
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Woman
Man
Genderqueer / Genderfluid / Gender non conforming
Non-binary
Agender
Prefer not to say
Other:
Race / Ethnicity
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American Indian or Alaskan Native ( a person having origins in any of the original people of North and South America including Central America
Asian (a person having origins in any of the original peoples of the Far East, South East Asia, or the Indian Subcontinent examples include: Cambodia, China, Indian, Japan, Korea, Malaysia, Pakistan, Philippines, Thailand, Vietnam)
Black or African American (a person having origins in any black racial groups of Africa and the Caribbean)
Caribbean (a person from a Spanish speaking or Non-Spanish speaking country in the Caribbean region including Guyana)
Latino/Latina/Latinx (a person that has origins in Cuba, Mexico, Puerto Rico or a Spanish speaking country within South America, Central America or the Caribbean)
Middle Eastern (also includes Morocco, Tunisia, Algeria, Libya, & Egypt)
Native Hawaiian or Other Pacific Islander (a person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
White (a person having origins in any of the original peoples of Europe)
Prefer not to say
Other:
Company
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Your answer
Title
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Your answer
T-shirt Size
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XS
S
M
L
XL
XXL
XXXL
Other:
Emergency Contact Information: Please include the name, number and email of your emergency contact person in this section. Please also include their relationship to you.
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Your answer
How do you want to volunteer with America On Tech? Select all that apply.
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Become a technology instructor for one of our classes
Host a summer intern
Provide classroom space
Become a classroom guest speaker
Host a career day at your company
Help review resumes
Help prepare students for interviews
Help develop curriculum
Other:
Can we include you on our mailing list?
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Yes
No
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