Volunteer

Name:*

First Last

Local address:*

Street Address Address Line 2 City State ZIP Code

I live at this address:*

Year-round
Other (describe)

Other

Preferred telephone number:*

This number is a:*

Home
Cell
Work

Email Address:*

I am 21+ years of age

All volunteers must be 21+ years of age to qualify

DOB:*

All volunteers must be over the age of 21.

Gender Description*

Gender Description

Gender Description Write In

Pronouns:

He, him
She, her
They, them
Write In pronouns

Pronouns Write In

What is your race/ethnicity? Select all that apply. JBBBS welcomes all demographics.

Do you speak any languages other than English?

Yes
No

Which language(s)?

Currently a student:*

Yes
No

IF YES – Which school?:

IF YES – Field of study (if declared):

Currently employed?

Yes
No

IF YES – Employer’s name:

IF YES – Role within company:

I learned about JBBBS from (check all that apply):*

Describe:

I would consider volunteer opportunities with (check all that apply):*

Children
Children with disabilities/special needs
College Mentoring Program (High School Juniors/Seniors)
Type 1 Diabetes
LGBTQ+
Adults with disabilities

I have access to a personal vehicle:*

Yes
No

This helps us determine which neighborhoods you can get to.

Our volunteer opportunities require a commitment of one year.*

I can commit for one year.

Do you anticipate any major life changes in the next year that may make a one year commitment challenging? If no, write N/A.*

Some examples may include enrolling in school, new job, an addition to the family, or moving to a different state. Not all life changes are disqualifying for volunteering.

Please indicate, in a sentence or two, why you’re considering volunteering with us.*

Volunteer Application Form