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VOLUNTEER INTEREST FORM
* Required fields
Yes, I am interested in learning more about the Year Up Volunteer Program
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First name *
Last name *
Email *
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Home phone
Work phone
Address
City
State
Zip
Occupation
Employer/School
Gender Male Female
Ethnicity Native American
  Black/African American
  Latino/Latina
  Asian/Pacific Islander
  White/Caucasian
  Other, Please specify
Languages you speak
Birthday (mm/dd/yyyy)
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Have you volunteered before Yes No
If so, with whom
What is your primary work status Full time Part time
  Homemaker Retired
Which volunteer opportunity(ies) interest you most?
Instructors Curriculum coaches Mentors
Guest Speakers College Application Advisors
Sponsors Company Tour Guides Job Coaches
Other (please specify)
Which city would you like to volunteer in?
Atlanta Boston Chicago New York Providence
Puget Sound San Francisco National Capital Region
How did you hear about Year Up?

Applicable Skills/Comments/Other Interest Areas
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"I spent a few months as a volunteer with Year Up and got to know the program and all the wonderful people who work so hard to fulfill its mission. This experience made me really feel invested in the program and to hep out beyond my initial volunteer position."
-Nicola Thompson
Volunteer and Mentor
PARTNERS
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