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Volunteer Interest Form

  1. Disclaimer

    Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.

  2. Type first name.

  3. Type last name.

  4. Type address here.

  5. Type city here.

  6. Type state here.

  7. Type your preferred phone number here.

  8. Type your email address here.

  9. I am interested in volunteering in the following way:

    Please select the area in which you would like to volunteer.

  10. How did you hear about our program?

  11. Most of our volunteer opportunities are in the morning (8-12) or afternoons (12-4). What is your availability?(Please check all that apply.)

  12. All community volunteers in our program MUST be able to pass a background check.

  13. Leave This Blank:

  14. This field is not part of the form submission.