Volunteer, Mentor & Leadership Application

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Volunteer, Mentor & Leadership Application

Thank you for your interest in serving with Made Different Initiative (MDI). Please complete this application as thoroughly as possible. Submission of this application does not guarantee placement.

Website

Personal Information

Full Name*

Preferred Name

Email Address*

Phone Number*

Address, City, State, Zip Code*

Socials

What's the best way to contact you?*

EmailPhone callText message

High school attended*

Graduation year*

College/University attended

Degree and graduation date

Other education or special training

What Are You Interested In?

Check all that apply.

Roles of interest*

MentorVolunteerLeadership RoleEvent StaffCommittee MemberInternshipOther

Areas of Interest

Check all that apply.

Program areas*

House TalkSafe SaturdaysMade With LoveMade in the CommunityFundraising EventsAdministrative SupportMarketing & Social MediaGrant WritingYouth MentorshipCommunity Outreach

About You

Why are you interested in joining Made Different Initiative?*

What skills, experiences, or talents would you bring?*

Have you volunteered or mentored before? If yes, briefly describe.

What motivates you to serve your community, and what impact do you hope to make through Made Different Initiative?*

Availability

Days Available*

MonTueWedThuFriSatSun

Preferred Time*

MorningAfternoonEvening

Estimated Hours Per Month*

1-56-1011-2020+

Mentor Applicants

Why do you want to become a mentor?*

Have you worked with youth before?*

Are you willing to complete mentor training?*

YesNo

Background Information

Are you at least 18 years old?*

YesNo

Are you legally authorized to volunteer/work in the U.S.?*

YesNo

Are you willing to complete a background check if required?*

YesNo

Final Questions

How did you hear about us?

Is there anything else you'd like us to know?

Applicant Agreement

I certify that the information provided is true and accurate.*

I understand that submission of this application does not guarantee placement.*

I understand that some positions may require an interview, orientation, training, and/or a background check.*

Applicant Signature*

Type your full legal name as your signature

Date*

Submitting does not guarantee placement. We'll follow up by email.

Dream. Grow. Lead.

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