Alumnae Volunteer Application - The Image Initiative

Alumnae Application

Name *

First

Last

Email Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Alternate Phone Number

Number of Years of Program Participation *

Which Program(s)? *

C.H.O.I.C.E.S
SES Conference
B.U.I.L.D

Check all that apply

Terms

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this form.

Please note: Alumnae who have direct contact with any program participants that are minors that involves the care, supervision, guidance or control of a minor AND/OR has routine interaction with a minor must complete a background check.