Become our volunteer

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Jeena

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- Become our volunteer
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because special needs require special attention

Volunteer Application Form

Personal Information

Full Name*

Date of Birth*

Month

Day

Year

Gender*

Male

Female

Email*

Phone

Emergency Contact Email*

Emergency Contact Relationship*

Emergency Contact*

Areas of Interest (in person) (SoCal only)

Activities

Community Events

Organizing Play Dates

Organizing Skill-based Workshops

Preferred Location

Orange County

San Fernando Valley

Area of Interest (Virtual)

Which area(s) would you like to volunteer in ?

Music

Games

Computer Skills

Tutoring

Other

How did you hear about us ?

Why do you want to volunteer with Jeena ?

What do you hope to gain from this experience ?

Skills & Experience

Briefly describe any relevant skills or experience you have :*

If Below 18, Parent Contact

Name

Relationship

Phone

Declaration

I confirm the above information is accurate.

Date*

Month

Day

Year

Signature*

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Organizational Policies & Code of Conduct

I agree to comply with all applicable organizational policies, procedures, and the code of conduct.

Confidentiality Acknowledgement

I acknowledge and agree to maintain the confidentiality of all proprietary and sensitive information.

805-285-2451 (voicemail)
PO BOX 133, LA VERNE CA 91750,
La Verne, CA, United States, CA 91750

admin1@jeena.org

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2025 by Jeena

Designed and Developed by Mehar Mayank

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