CLD Volunteer Opportunities

Contact Information

Name*

First Middle Initial Last Maiden Name for CLD Alumni ONLY

Gender*

Date of Birth*

MM

DD

YYYY

Ethnicity*

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Email*

Employer*

Job Title*

Availability*

Please indicate the days of the week and times you are available to volunteer at the Center for Leadership Development. Add rows as needed to indicate your full availability by clicking the + symbol at the end of the first row:

Day of the Week (Monday-Saturday)	Morning (8:00AM - Noon)	Afternoon (Noon - 5:00PM)	Evening (5:00PM - 8:30PM)

Preferred Method of Contact*

Are you a graduate of CLD's Self-Discovery/Career Exploration Project (CLD Alumni)?*

CLD Alumni Year

Would you like to know more about the CLD Alumni Association and how you can get involved?*

Yes
No

Volunteer Interests (Check All Areas of Interest)

Select All
Administrative Support (Data entry, Database Systems, Hall Monitors, Telephone Calls, Mailings, Microsoft Office, Filings, Front Desk etc.)
Educational Services (English or Math Tutoring, Guest Presenters, Professional Writing, Social Work/Academic Counseling, Workshops etc.)
Marketing (Experienced Graphic Design, Professional Photography, Recruitment & Outreach Events,etc.)
Special Events (Event/Program Registration, Guest Speaker, Set-up/Tear Down, etc.)

Facilitator Interests ONLY (Check ALL PROGRAMS of Interest) (Must have a COLLEGE DEGREE or be working towards one)

Programs & One Day Initiatives

Area of Expertise:

Educational Information

HIgh School Graduation Year

Name of High School*

Undergraduate Degree (i.e. BS, BA, etc.)

Undergraduate Degree Graduation Year

Name of Undergraduate Institution

Graduate / Professional Degree (i.e. MBA, PHD, etc.)

Graduate/Professional Degree Graduation Year

Name of Institution

First time in CLD: Yes/No?*

How did you hear about CLD's volunteer opportunities?*

If other, please specify*

Emergency Contact Information

Name*

First Last

Phone*

Relationship*

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I also understand and agree that my electronic signature is equivalent to my handwritten signature and is legally binding.

Name*

First Middle Initial Last

Date*

MM

DD

YYYY

Comments

This field is for validation purposes and should be left unchanged.

GET INVOLVED

Contact Information

Volunteer Interests (Check All Areas of Interest)

Facilitator Interests ONLY (Check ALL PROGRAMS of Interest) (Must have a COLLEGE DEGREE or be working towards one)

Educational Information

Emergency Contact Information

Disclaimer and Signature

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