Access Program Volunteer Interest Form

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First Name *

Last Name *

Email *

Phone Number *

Preferred Contact Method *

Phone

Required

How would you like to contribute? *

Check all that apply

Mentor: Provide one-on-one or group guidance to participants.

Guest Speaker: Share your story or expertise in a specific tech field.

Workshop Leader: Lead hands-on sessions or training.

Host Students: Offer mentorship or shadowing opportunities in your workplace or organization.

Drop-In Support: Provide assistance during workshops or events as needed.

Create Content: Develop materials, presentations, or resources for participants.

Promote the Program: Help spread the word and encourage community engagement.

Other:

Required

Do you have experience in any of the following areas? *

Check all that apply

Career Pathways in Tech

Digital Marketing

Data Analytics

IT Support

Cybersecurity

UX Design

Other:

Required

What is your availability?

Not Available

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Morning (10AM-12PM)

Midday (12PM-3PM)

Afternoon (3PM-5PM)

What inspires you to volunteer with us? *

How did you hear about this opportunity? *

Five Keys Schools and Programs

Community Newsletter

SECC Website

Social Media (e.g., Instagram, Facebook, LinkedIn)

Community Event

Word of Mouth

Other:

Required

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