Kansas City Center for Inclusion Volunteer Application

Please complete this application form if you are interested in becoming a Kansas City Center for Inclusion volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Cell phone:

Email address:

Gender:

Employer name:

Pronouns:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

(year optional)

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

I would like to serve up to:

hours:

* Assignment Preference:

Skills and Interests

In which of these areas would you like to do volunteer work?

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.

Please enter a password that:

Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.

Password:

Confirm password:

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Allow other volunteers to see when I am scheduled

Languages

What languages do you speak?

Emergency Contact

Please list one emergency contact.

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Cell phone:

Relationship:

Additional Information

Do you need any accommodation while volunteering with us?