YS Volunteer Inquiry Form

First Name *

Last Name *

Address Line 1 *

Address Line 2

Town / City *

State *

Zip Code *

Phone (Home)

Phone (Work)

Phone (Cell)

Email Address

Best time to reach you

Best way to reach you

Occupation/Job Title

Employer

If you checked “other” above, please describe what you’d like to do. Do you have any hobbies, special skills or career knowledge? Would you prefer to be matched to youth with a particular career interests or other attribute?

After researching, please indicate which opportunities you wish to be contacted regarding:

Mentoring high school students through RAMP

Hosting a business site visit

Serving once a month on a Diversion Board or Restorative Panel

Joining a committee of Youth Services

Volunteering in Youth Services’ office in Brattleboro or Bellows Falls

Other

Mentoring job-readiness skills through Youth-led Business

Checkboxes

Option 1

Option 2

If you are human, leave this field blank.