Volunteer Application

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Today's Date* This field is required.
Date
Month
Day
Year
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Name* This field is required.
First Name
Last Name
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Who Can Volunteer?

Please review the following eligibility requirements to volunteer at WCRC before submitting an application:

1) You must reside in one of the nine San Francisco Bay Area counties of Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Solano, Napa, Sonoma. If you are a student living in one of the listed counties that is sufficient residency to apply;

2) You must be at least 18 years old at the time of application.
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Address* This field is required.Must be a resident of one of the nine Bay Area counties: Alameda, Contra Costa, San Francisco, Marin, Sonoma, Napa, Solano, San Mateo, Santa Clara.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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In what county do you reside?* This field is required.
Please Select
Please Select
Alameda
Contra Costa
San Francisco
Marin
San Mateo
Santa Clara
Solano
Napa
Sonoma
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Date of Birth:* This field is required.Must be over 18 at time of application.
Date
Month
Day
Year
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Phone Number* This field is required.
Please enter a valid phone number.
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Email* This field is required.
example@example.com
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Gender* This field is required.Please select one, scroll down to see full list.
Female
Male
Non-binary
Male, Transgender
Female, Transgender
Gender Queer
Gender Fluid
Gender Non-conforming
Agender
Decline to state
Please select from the dropdown list, scroll down to see full list
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Preferred Gender Pronouns:
She/her/hers
He/him/his
They/their/their
Other
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If other, please indicate preferred pronouns:
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Ethnicity(ies):* This field is required.
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Occupation:* This field is required.
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Languages you speak fluently other than English:* This field is required.
15
Sexuality:* This field is required.Please select one, scroll down to see full list.
Heterosexual
Lesbian
Gay
Bisexual
Queer
Pansexual
Asexual
Decline to State
Please select from the dropdown list, scroll down to see full list:
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How did you hear about WCRC?* This field is required.
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Small
Ok
Ok
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Have you ever had cancer?* This field is required.
YESNO
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If yes, what kind?* This field is required.If not applicable, type "N/A"
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If yes, when diagnosed?* This field is required.Month/Year of diagnosis or if not applicable, type "N/A"
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If yes, when treated?* This field is required.Month/Year to Month/Year received active treatment or if not applicable, type "N/A"
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If yes, how long out of treatment?* This field is required.Month/Year out of treatment or if not applicable, type "N/A"
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Please describe any other volunteer work you have done:* This field is required.
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Ok
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What skills, either personal or professional, and /or talents are you able to bring to WCRC?* This field is required.
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Normal
Small
Ok
Ok
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Do you have transportation (regular access to a vehicle)?* This field is required.
YESNO
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Do you need disability access?* This field is required.
YESNO
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If yes, please describe:* This field is required.If not applicable, type "N/A"
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Why are you interested in volunteering at WCRC?* This field is required.
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Ok
Ok
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What days & times are you available to volunteer?* This field is required.
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Will you be able to make a six-month commitment?* This field is required.
Yes
No
Possibly
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Do you anticipate requesting a recommendation letter for your volunteer service?* This field is required.
Yes
No
Possibly
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What programs are you interested in volunteering for?* This field is required.Check all that apply:
Help Desk (in-person, at least one weekday, M-F for, ideally, a 3-hour shift, 10am-1pm or 1-4pm)
Wellness Workshop Instructor
On-call, as needed for projects, special events
Free Therapy Program (must be a licensed psychotherapist or a supervised associate in CA)
Outreach
Transporting clients (need access to a vehicle)
Swim A Mile/Move A Mile (seasonal; one weekend in early May)
Should be Empty: