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NLA-Houston Volunteer Application
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Name
*
First
Last
Scene Name
Pronouns
Address
*
City
*
State
*
Zip
*
Phone
*
Date of Birth
*
Email
*
How were you referred to NLA-H, and by whom?
Do you have skills, special interests or experience that you would like us to consider when placing you into an appropriate position?
Here are some of the volunteer positions we offer. Please check the ones you would be most interested in.
Bar Events
Social Programs
Fundraising
Education
Parade
Social Events
Other:
What days are you usually available?
Monday
Thursday
Saturday
Tuesday
Friday
Sunday
Wednesday
How many hours are you available per week?
Do you prefer morning, afternoon, evening?
Please describe any limitations that may be relevant to duties assigned, and how we can provide accommodations:
Emergency Contact
Name
Phone
Phone
Relationship
Relationship
I am at least 21 years of age and/legal age in my state/country of residence.
*
Yes
No
I agree with the goals of NLA-H and wish to support its efforts of activism, concern, education and public service. I understand that information on this form will be handled according to the confidentiality rules set forth in the Bylaws.
*
I agree
I disagree
As a volunteer of NLA I agree to abide by all policies and procedures as spelled out in the Bylaws. I understand that I volunteer at my own risk and neither the organization nor its members assume any liability for any accidental injury or health problem arising from volunteer work I perform for the organization. I agree that all work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.
*
I agree
I disagree
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