Volunteer & Board Member Interest Application

Section 1 — Contact Information

Full Name *

Phone Number *

Email Address *

Preferred Method of Contact *

PhoneEmailText

Section 2 — Your Interest

What are you interested in? *

Section 3 — Skills & Experience

What areas of experience or skills can you contribute?

Briefly describe your experience, skills, or knowledge you'd like to contribute.

Section 4 — Availability

How often are you available to serve?

Section 5 — Why TDLBC?

Why would you like to serve with The Don't Look Back Center?

Section 6 — Board of Directors

Are you interested in being considered for the TDLBC Board of Directors? *

YesNoMaybe / I would like more information

Acknowledgment

I certify that the information I provided is accurate to the best of my knowledge.I understand that submitting this application does not guarantee acceptance as a volunteer or appointment to the TDLBC Board of Directors.I agree to maintain confidentiality and respect the privacy and dignity of TDLBC participants, staff, volunteers, and community partners.I agree to follow TDLBC policies, procedures, safety requirements, and applicable laws while volunteering or serving with TDLBC.

Electronic Signature *

By typing your full name below, you acknowledge this serves as your electronic signature.

Date *