Become our volunteer

top of page

Jeena

About Us
Our Programs
Courses
Events
Donate
Resources
Volunteer
- Volunteer Spotlight
- Become our volunteer
Gallery

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

Email

Declaration

I confirm the above information is accurate.

Date*

Month

Day

Year

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

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.

Contact Us

408-512-1826 (voicemail)
PO BOX 133
LA VERNE, CA, 91750

admin1@jeena.org

Connect with Us

bottom of page