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Volunteer Intake Form


Volunteers are the backbone of everything Alphapointe does and are critical to our success. We are excited that you want to volunteer with us. Please take a moment to complete the intake form below so we can get to know you better and ensure that your skills and expertise are utilized in the best capacity.

* First Name
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* Last Name
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Company
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* Email
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* Phone Number
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* Why are you interested in volunteering with Alphapointe?
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* What volunteer position(s) you are interested in? Choose all that apply.
* Help us understand your vision
* Are you able to support/help with braille users
* Do you have any previous experience working with individuals with disabilities or in similar roles? If yes, please describe.
* Do you have any specific skills or qualifications (e.g., Braille, assistive technology, mobility training) that would be helpful as an Alphapointe volunteer?
* What days and times are you available to volunteer?
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* How comfortable are you working one-on-one with individuals who are blind or visually impaired?
Not at all
Very Comfortable
* Are you willing to attend training sessions to better prepare for your volunteer role?
* Have you ever been convicted of a crime? If yes, please provide details
* How did you hear about our volunteer opportunities?
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Is there anything else you would like us to know about you or your interest in volunteering with us?
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