Please complete this application form if you are interested in becoming a Period Kits volunteer. Once you complete the form, click the Continue button at the bottom.

Personal Information

Contact Information

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Emergency Contact Information


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

Vic Net

As a volunteer of our organization I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive monetary payment or reward. I acknowledge that all information submitted above is true to the best of my knowledge.