Mazzoni Center Volunteer Interest Form Thank you for your interest in being a Mazzoni Center Ambassador. Ambassadors are our valued volunteers and are incredibly important to the work that we do. Question Title * 1. What is your name? Question Title * 2. What are your pronouns? Question Title * 3. What is your e-mail address? Question Title * 4. Please confirm your e-mail address Question Title * 5. What is your phone number? Question Title * 6. What is your street address? Question Title * 7. Are you at least 18 years old? Volunteers under age 18 will be referred to our Youth Advisory Board Yes No Question Title * 8. Why do you want to become a Mazzoni Center Ambassador? Question Title * 9. What volunteer opportunities are you interested in? Tabling Event set up/takedown Support during events Flyering Greeting patients/clients at Mazzoni Center Star in social media videos Packing Parties Other (please specify) Question Title * 10. Do you have any of the following clearances to work with children? Select all that apply FBI background check PATCH clearance DHS background check Child abuse history verification Question Title * 11. Do you have any special skills that you believe would be helpful as a Mazzoni Center Ambassador? Please write N/A if not. Question Title * 12. Do you have any food allergies or dietary restrictions? Please write N/A if not. We do not usually have food at events, but if we have food we will do our best to accommodate dietary restrictions Question Title * 13. Do you have any accessibility needs when serving as an Ambassador? Please write N/A if not. Ex: "I can only stand for 4 hours," "I need wheelchair accessible spaces," etc Question Title * 14. How often would you like to be notified about volunteer opportunities at Mazzoni Center? As opportunities arise Every two weeks Monthly Every two months Quarterly Done