Volunteer Intake Form

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Please provide the following information for your teen who will be volunteering at Side by Side Social Club.

Volunteer Last Name *

Volunteer First Name *

Volunteer Gender *

Volunteer Age (in years) *

This helps with planning each social club and matching participants with our volunteer buddies...

Is the participant Hispanic, Latino, or of Spanish origin? *

Yes

I decline to answer

How would you (volunteer) describe yourself?

Yes

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

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Name of the school that this volunteer attends is... *

How often is the volunteer available to join Social Club? *

Monthly

Every other week

Weekly

Other:

Required

Do we have the permission of the volunteer's legal guardian/ parents to contact the volunteer directly about Side By Side Social Club events? *

Yes

Volunteer Email (if we have guardian/ parent permission)

Volunteer Phone Number (if we have guardian/parent persmission)

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