Thank you for your interest in volunteering at MYAN's 3rd Annual Maine Youth Leadership Summit. We are grateful for your help.

* 1. Contact Information

* 2. What is the best way to reach you?

* 3. What are your skills and interests? Check all that apply to you.

* 4. If you have either nurse/EMT skills or counseling/social work skills, please list your qualifications/experience in this area.

* 5. When are you available? Check all that apply.

* 6. We are often able to offer volunteers opportunities to participate in parts of the event during their shift. Which are you interested in doing?

* 7. What other responsibilities do you have at the event in addition to volunteering?

* 8. Are you interested in helping us out before the event? When are you available October-December 8th?

* 9. Do you need MYAN to arrange a hotel room in order to make it possible for you to volunteer? Check all that apply.

* 10. Know another volunteer to share a room with? Fill in their name here and note if you would like 1 king bed or 2 double beds in your room.

* 11. Would assistance with travel costs help make it possible for you to volunteer?

* 12. Is there anything else you would like us to know to help us schedule you as a volunteer?

Thanks for your commitment to supporting youth to find their voice and make an impact. In order for us to receive your information, YOU MUST click on "done" below. You should receive an email confirmation that we received your response in 3 business days. If you have any questions in the meantime, or do not receive a confirmation email, please contact Beth Yvonne, MYAN Program Director at (207)553-5915 or