Volunteer Application

Volunteer Application

First Name*

Last Name

What do you like to be called?

What is the best number to reach you at?*

What is your email?*

What is your preferred method of contact?

Select

What's your date of birth?

What are your pronouns?

If unlisted, please add at the end

Select or enter value

Referral Source*

Select

Availability

Please indicate the times and days during which you are available to volunteer.

Monday

Select or enter value

Tuesday

Select or enter value

Wednesday

Select or enter value

Thursday

Select or enter value

Friday

Select or enter value

Saturday

Select or enter value

Sunday

Select or enter value

How do you want to be of service

Please select all of the volunteer opportunities that appeal to you. Please note the approximate time commitment. Peer Kent asks for a 3-month commitment to the front desk volunteer position. There may be some duties that ask you to lift up to 25 pounds.

Opportunities

Select

Peer Kent is a community-based organization which relies on our community to provide the needed resources to keep our doors open, phones answered, and groups facilitated. There are many ways to participate and we often need volunteers with specific talents or skills throughout the year.

Please let us know if you have a specific skill set that you are willing to donate on behalf of Peer Kent:

Please tell us a bit about yourself and your connection to Peer Kent:*

Emergency Contact

Name

Relationship to this contact

Phone number

References

First reference name*

Relationship*

Phone*

Email*

Second reference name*

Relationship*

Phone number*

Email address*

Please let us know if there's anything else you'd like to add.

Acknowledgments

VISION STATEMENT: Peer Kent envisions a community of peers connected by shared experience in compassionate support one another. MISSION STATEMENT: Peer Kent is a non-profit corporation that cultivates powerful, healthy lives by providing peer emotional support and development services to the LGBTQ community and their allies embracing issues of mental health, chemical and behavioral addiction, and chronic illness. By checking both boxes and typing my name below, I am electronically signing my application.

I acknowledge Peer Kent's mission and vision and by signing below I agree to support it when representing Peer Kent as a volunteer.*

I certify that the information supplied on this application is true and complete to the best of my knowledge. I understand that this information is regarded as confidential and will be seen only by staff members of Peer Kent.*

Name of applicant*

Send me a copy of my responses

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