Volunteer Application : Who We Are : Club 21 Learning and Resource Center

ALREADY A VOLUNTEER? Sign in to the Volunteer Portal:

WANT TO VOLUNTEER WITH CLUB 21? Fill out the form below.

Volunteer Application Form

Club 21 values those who share their time with us as volunteers. If you would like to help us in some manner, please fill out and return this form.

First Name

Last Name

Date of Birthday

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Please use a personal email (not a school provided email) to ensure you receive correspondence.

Phone

Emergency Contact Name:

Emergency Contact Phone Number

Emergency Contact Relationship to You

School Name or Organization (if applicable)

Graduation Year if a Student

I would like to help:

How did you hear about Club 21?

Please describe your previous volunteer experience with Club 21, if applicable?

What are you interested in volunteering with Club 21?

What is your experience with and/or knowledge of Down syndrome?

What other organization are you involved with? Please indicate your type of involvement (volunteer, board member, employee, etc.)

If you need documentation of service hours, what is your service requirement?

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If you have ever been charged or convicted of a misdemeanor or felony, please explain below.

Do you have any special skills you would like to contribute to Club 21?

Outreach
Photography
Graphic Design
Spanish translation
Social media
Advocacy
Research/writing on topics related to Down syndrome
Fundraising

Volunteer Portal Instructions

Volunteer training, shift sign-ups, and communication are all conducted through our Volunteer Portal. Please create a unique username and password below under the "User Information" section in order to request access to the Volunteer Portal. Please make sure to click both buttons below ("Request Volunteer Portal Account" and "Submit Volunteer Application") to ensure your application is complete. If you are with an organization such as National Charity League, please list it under the "Organization" box. If you are not associated with an organization please list "N/A."

Please allow 1-2 business days for your account to be approved. You will not be able to login to the volunteer portal until your account has been approved. Please do not request more than one account.

User Information

Username

Password

Passwords should contain at least 1 letter and 1 number; can contain the @ # $ ^ * ! - characters; be at least 6 characters in length; not be the word PASSWORD; and not be the same as your username.

Confirm Password

First Name

Last Name

Organization

Phone

E-mail Address

Volunteer Application Form

Volunteer Application

ALREADY A VOLUNTEER? Sign in to the Volunteer Portal:

WANT TO VOLUNTEER WITH CLUB 21? Fill out the form below.

Volunteer Application Form

User Information

DID YOU REMEMBER TO CLICK BOTH BUTTONS?

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