If you are human, leave this field blank.

AFFIRMED NAME

First

Last

DATE OF BIRTH *

GENDER PRONOUN(S) (EX: SHE/HER, HE/HIM. THEY/THEM, ETC.) *

PHONE #1 *

PHONE #2

NAME TO USE WHEN CALLING *

NAME TO USE WHEN EMAILING

ADDRESS *

CITY/STATE/ZIP

PREFERRED CONTACT METHOD

Phone #1

Phone #2

HOW DID YOU HEAR ABOUT THE PRIDE CENTER? *

TELL US ABOUT YOURSELF

HAVE YOU EVERY BEEN A PRIDE CENTER VOLUNTEER? *

Yes

IF YES, WHEN AND WHAT WAS YOUR PREVIOUS VOLUNTEER ROLE AT THE PRIDE CENTER? *

OCCUPATION: *

PLEASE INDICATE THE HIGHEST LEVEL OF EDUCATION YOU HAVE COMPLETED: * Pick one

WHY ARE YOU INTERESTED IN BECOMING A PRIDE CENTER VOLUNTEER? *

BRIEFLY DISCUSS ANY SKILLS, EXPERIENCE, AND KNOWLEDGE YOU CAN BRING INTO THE PRIDE CENTER. *

HAVE YOU EVER BEEN CONVICTED OF A CRIME? *

Yes

If yes, please explain.

VOLUNTEER OPPORTUNITY CHOICES

Please select all that you are interested in.

CAFE

Dinner and a Movie

Sunday Supper

CENTER FAMILIES

LOOK (Loving Ourselves and Kids) Friends and Familes of LGBTQ People Support Group

Saratoga LGBTQ Support Group

CENTER YOUTH

Albany Youth Group Co-Facilitator

Albany Young Adult Peer Support Group (19-30) Co-Facilitator

Saratoga Youth Group Co-Facilitator

Trans* Talk 18 & Under Trans* Youth Group Co-Facilitator

Chaperone Special Events (A-Prom, etc.)

Schenectady Youth Group

OUTREACH/COMMUNITY EVENTS

Outreach Team Members

Community Events (Capital Pride Parade and Festival, etc.)

Prideability

TRANS* PRIDE

Trans* Pride Co-Facilitator

VINTAGE PRIDE

“Friendly Neighbor” Volunteer

Vintage Pride Co-Facilitator

WOMEN’S | MEN’S PRIDE

Women’s Pride Co-Facilitator

Men’s Pride 18+ Co-Facilitator

IDENTITY

The Pride Center strives to have a diverse team of volunteers, both in skills/experience an in identity.

Please share with us how you describe yourself today. *

SEXUAL ORIENTATION:

GENDER:

RACE/ETHNICITY:

OTHER IDENTITIES IMPORTANT TO YOU:

DO YOU HAVE ANY PHYSICAL CONSIDERATIONS YOU WOULD LIKE US TO KNOW ABOUT?

AVAILABILITY

DO YOU NEED VOLUNTEER HOURS? *

Yes

If yes, how many hours do you need?

Where or to whom do you owe volunteer hours?

When must these hours be completed by?

PLEASE CHECK THE BEST TIME YOUR ARE AVAILABLE. *

MORNING

AFTERNOON

EVENING

Pride Center of the Capital Region

Empowering Our Community Since 1970