Volunteer Interest Form

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Thank you for your interest in becoming a volunteer in our healing community! Please fill out the information below to help us get to know you and your interests better. Questions with a star by them are required; all other questions are optional--filling them out will help us to better understand our community.

First Name *

Last Name *

Email *

Date of Birth *

YYYY

Phone Number *

Address *

City *

Zip Code *

What is your preferred pronoun?

She

They

Other:

Clear selection

I identify my ethnicity as:

Asian

Black or African American

Hispanic/Latinx

Native American

Pacific Islander

White

Multiracial

Other:

Are you a Veteran?

Yes

Clear selection

Current Employer

Position/Job Title

I am currently:

Retired

High School Student

Undergraduate Student

Graduate Student

Working full-time

Working part-time

Other:

Clear selection

If a student, what school are you attending?

Do you identify as someone in Recovery?

Yes

Clear selection

Have you previously been a Member of Recovery Cafe? *

Yes

How did you hear about Recovery Café? *

Clear form

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