FixPat Volunteer Interest Form
Chi Bornfree has a mission to promote family-centered care through advocacy efforts and by supporting campaigns that include family leaders as key decision makers on language, strategy and community action steps. FixPat, our nonprofit branch, promotes emotional intelligence, literacy, and neurodiversity through wellness products and services, including community care parties. 

Together, both organizations empower the disability community. Having recently been founded, both organizations lack full-time staff and we are powered by contractors and volunteers.

We are on Facebook, Instagram, and Twitter
IG: @drchibornfree 
Twitter: @ChiBornfree
@_fixpat Instagram/Twitter Handles
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First and Last Name *
Preferred Pronouns
Email *
When is your birthday? *
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Where are you located (city, state)? If you're in DC, please share your ward (if not known, general area).  *

What are your values (things that you believe are important)?

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Did you attend college or are currently attending? Tell us where.
The following are areas where we can use your support. Select where you would feel most comfortable:
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I am available to volunteer
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This is a space to tell us anything not asked in the form or raise any questions you have about volunteering with us.
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