• Facebook
  • Twitter
  • YouTube
  • Flickr
Toggle Menu

Current Results for Community Outreach Volunteer - Interest Form

1. Date

Latest User Responses:

10/02/2019
 

 

 

09/26/2019
 

 

 

07/18/2019
 

 

 

02/06/2019
 

 

 

10/10/2018
 

 

 


View All Responses for question #1

2. Your information:

Total Number of Responses

11

3. I prefer to be contacted by:

Value

 

Count

 

Percent

Email

 

10

 

90.9

Phone

 

1

 

9.1

  

4. Have you ever been convicted of (including entering a plea of guilty or nolo contendere) of any felony crimes with in the past 7 years? Do not include convictions that were sealed or expunged pursuant to a court order. NOTE: Before answering this question regarding criminal convictions please refer to the instructions below if you reside or are applying for a position in California. A "yes" is not an automatic bar to volunteer service with Susan G. Komen Northern & Central California. The circumstances relating to the offense will be considered in relation to the volunteer position for which you are applying.

Value

 

Count

 

Percent

No

 

11

 

100.0

  

5. If you answered "Yes", please provide the following information: The date, place of the offense and charge:

Latest User Responses:

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #5

6. If you answered "Yes" in question #6, in addition to the date and place of the offense and charge, what other information do you believe is pertinent to our full understanding of this matter?

Latest User Responses:

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 


View All Responses for question #6

7. If you speak a foreign language and are willing to share your skills, please indicate which language(s)

Latest User Responses:

Tongan
 

 

 

Hindi, Punjabi
 

 

 

spanish
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #7

8. Why do you want to volunteer for Susan G. Komen Northern & Central California?

Latest User Responses:

I am a Tongan woman born ...
 

 

 

I was 13 when my mother w...
 

 

 

Looking for internship ho...
 

 

 

I run the race most years...
 

 

 

I have been wanting to vo...
 

 

 


View All Responses for question #8

9. Share your past volunteer experience, if applicable.

Latest User Responses:

NA
 

 

 

I've volunteered before a...
 

 

 

i have participated in he...
 

 

 

I have extensive experien...
 

 

 

n/a
 

 

 


View All Responses for question #9

10. Please list any additional skills that you would be willing to contribute

Latest User Responses:

Hospitality, marketing, Interpersonal
 

 

 

Team skills, Leadership skills
 

 

 

community out reach knowledge
 

 

 

I am a dance choreographer.
 

 

 

marketing, writing, etc.
 

 

 


View All Responses for question #10

11. Volunteer Signature:

Latest User Responses:

Joyce
 

 

 

Amiteshwar Singh Mann
 

 

 

kathlene m gutierrez
 

 

 

Shashwati Roy
 

 

 

Kyara Williams
 

 

 


View All Responses for question #11

12. Parent or Guardian's Signature: (Required for those volunteers under 18)

Latest User Responses:

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #12

13. Date:

Latest User Responses:

02/10/2019
 

 

 

26 September 2019
 

 

 

7/18/2019
 

 

 

02/06/2019
 

 

 

10/10/2018
 

 

 


View All Responses for question #13