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Youth Coach Application Form
Thank you for your interest in supporting IJUITC as a volunteer or mentor. Please complete the below application.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address, City, State, ZIP
Your answer
Email
*
Your answer
Phone number
*
Your answer
Which areas are you interested in serving?
*
Volunteer in admin support
Volunteer in social media
Volunteer in fundraising & event planning
Volunteer in grant research & writing
Mentor/Coach in Youth Program
Mentor/Coach in The Titus 2 Women's Circle
Mentor/Coach in The Man Cave
Other:
Required
List your prior volunteer/mentor experience. (Please email a copy of your bio and/or resume)
*
Your answer
How did you hear about IJUITC?
Your answer
Are you willing to complete a background check?
*
Yes
No
Required
What time frame are you able to commit to?
*
3 months
6 months
1 Year
Other:
What is the best time to contact you?
Time
:
AM
PM
What is your age range?
20-30 years old
31-40 years old
41-50 years old
51 or older
Other:
Clear selection
What is your race?
Black/African American
White/Caucasian
Other:
Clear selection
What country were you born?
USA
Other:
Clear selection
What is your highest level of education?
*
High School
Associates Degree
Bachelors Degree
Masters Degree
PH.D.
Other:
What is your t-shirt size?
XS
S
M
L
XL
XXL
Other:
Clear selection
Submit
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