VOLUNTEER FORM

Please complete and return.

Name:

Address:

Phone #:

Email:

Occupation:

Organizational affiliation (If applicable)

Please indicate your availability on November 12th and 13th.

Are you available during the day?

Are you available in the evening?

Are you currently available to volunteer? If not, when will you be available?

Do you have access to a computer?

Do you have access to the Internet?

Have you reviewed the National Youth Summit website at TheNYS.org? Please review the entire site.

Please indicate the areas of assistance you are willing/able to provide:

__Outreach

__Graphic design

__Check-in

__Social media

__Materials/Assembly

__Marketing

__Clean up

__Monitoring

__Workshop aide

__Pre-registration

__Other (please specify)

Please indicate if you are or have ever been restricted by court order from being in the presence of children. If yes, and you would like to explain, please provide an explanation on the back of this form or via email at TheEthicsProject@gmail.com.