Volunteer Application
Date of Volunteer Application
Date of birth
First Name
Middle Name
Last Name
Suffix
Address Information:
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip/Postal Code
Preferred Phone
Please select...
Home
Mobile
Work
Home Phone
Mobile Phone
Work Phone
Preferred Email
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Personal
Work
Personal Email
Work Email
Emergency Contact Information:
Emergency Contact Name
Relationship
Emergency Contact Phone
Education & Employment Information:
Highest Level of Education
Please select...
Less than high school diploma
Trade School Completion
High School diploma/GED
Some College
Associates degree
Bachelor’s degree
Master’s degree or higher
Refused to provide
Degrees, Licences or certifications
Employment status
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Full-time
Part-time
Retired
Unemployed
Disabled
Occupation
How long at employment?
Employer have LGBT affinity group
Please select...
Yes
No
Employer do group volunteer events
Please select...
Yes
No
Volunteer Organization
Briefly describe your previous paid work experience
Briefly describe any previous or current volunteer work (include any LGBTQ+ experience)
Do you have use of a car?
Please select...
Yes
No
Interests/Hobbies
When are you able to volunteer?
Weekdays
Weekends
Morning
Afternoon
Evenings
Demographics:
Race
Please select...
American Indian, Native American, Alaskan Native, Indigenous American
Arab, Middle Eastern
Asian, Pacific Islander
Black or African American
White
Latinx
Multi-racial
Prefer not to respond
Does not identify
Not Listed
Please select all that apply
Sexual Orientation
Please select...
Gay
Lesbian
Bisexual
Straight/Heterosexual
Queer
Same Gender Loving
Questioning
Asexual
Does Not Identify
Prefer not to respond
Gender Identity
Please select...
Cis Woman
Cis Man
Trans Woman
Trans Man
Gender Nonconforming/ Non-binary
Intersex
Prefer not to respond
Not Listed
Pronouns
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He
She
They
Not Listed
Other Pronouns
Other than English, what languages do you speak?
Please leave blank if no other language
Proficiency in other language
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Native or Near Native Fluency
Intermediate
Spoken Only
Written Only
Veteran Status
Military Service: Were you ever in service for any branch of the U.S. military?
Check if True.
Hear about SAGE
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Facebook/Twitter/Website
TV/News/Magazine
SAGE Outreach & Materials
Friend or Family
Pride or Tabling Event
Other Agency
SAGE Special Events
Other
Please select all that apply
Other Method Hearing About SAGE
Volunteer Last Web Signup Date
Volunteer Type
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NYC Volunteer
National Volunteer
Education Ambassador
National Mentor
Volunteer Status
Please select...
Active
Inactive
New Sign Up
Prospective
Programs and Services
Programs and Services