ACCESS Volunteer/Internship Application

Contact Information

Name*
Address*
Are you over the age of 18?*

Volunteer/Intern Information

Are you looking to volunteer or seeking a student internship?*
How did you hear about ACCESS?
Have you ever been employed by ACCESS?*
Have you volunteered with ACCESS before?*
Are you prepared to undergo screening and/or a background check for our safety, your safety and our clients' safety?*

Volunteer/Intern Background

What ACCESS programs are you interested in volunteering/interning with?*
Do you speak any languages besides English?*

Volunteer/Intern Availability

Days available (pick all that apply)*

Disclaimer

I certify that the answers are true and complete to the best of my knowledge. If this application leads to an internship or volunteer project, I understand that false or misleading information in my application may result in the immediate termination of the internship or volunteer project.

I agree to the above statement.
Use your mouse or finger to draw your signature above