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M.E.S.S.A.G.E. / R.E.S.P.E.C.T. Programs
L.O.S.S. Program
Beyond Bullying
Teen Intervene
Substance Abuse Program
Time to L.A.G. (Learn About Gaming)
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Bullying
Sexting
Theft
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The Choking Game
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Home
About Us
- Youth Outreach Program
- Extrajudicial Measures/Sanctions
- Our Organization
- Board/Staff
- Our Sponsors
Programs
- Rebound Life Choices
- Youth Justice Committee
- M.E.S.S.A.G.E. / R.E.S.P.E.C.T. Programs
- L.O.S.S. Program
- Beyond Bullying
- Teen Intervene
- Substance Abuse Program
- Time to L.A.G. (Learn About Gaming)
Volunteers
Employment
Parents, Educators & Community Partners
- Topics
- Bullying
- Sexting
- Theft
- Substance Abuse
- The Choking Game
- Resources
- Related Links
- Referral Process
- Community Presentations
- Feedback
Keep Your Privates Private
Results
Testimonials
Golf Tournament
Volunteer Application Form
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Volunteer Application Form
Volunteer Information
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
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Bouvet Island
Brazil
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Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
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Côte d'Ivoire
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Cyprus
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Djibouti
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Dominican Republic
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Ethiopia
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Gabon
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Guinea-Bissau
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Haiti
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Holy See
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Hong Kong
Hungary
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Indonesia
Iran
Iraq
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Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
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Madagascar
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Malaysia
Maldives
Mali
Malta
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Mauritius
Mayotte
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Myanmar
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Nigeria
Niue
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Norway
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Pakistan
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Palestine, State of
Panama
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Pitcairn
Poland
Portugal
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Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Vincent and the Grenadines
Samoa
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Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
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Spain
Sri Lanka
Sudan
Suriname
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Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
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Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Country
Date of Birth
MM
DD
YYYY
Age
Gender
Male
Female
Email Address
Home Number
Alternate Number
Best Day/Time to Call?
Volunteer Opportunities
What areas within the organization would you be interested in volunteering for?
Rebound Life Choices (10 Week Social Skills Program)
M.E.S.S.A.G.E. (Dangers of Social Media "Sexting" for Females)
R.E.S.P.E.C.T. (Dangers of Social Media "Sexting" for Males)
L.O.S.S. (Consequences of Theft)
Youth Justice Committee Forums (Mediation between Victim and Victimizer)
Beyond Bullying (Understanding the consequences of bullying)
Teen Intervene (Early Intervention Substance Abuse Program)
Fundraising Committee Member (Organizing events, seeking out prizes, applying for grants)
Administration/Researcher
Past Work/Volunteer Experience
Please list your most relevant work experience, the name of your employer, position you held, how long you worked for that company and experience acquired.
Work Experience #1
Work Experience #2
Work Experience #3
Please list your most relevant volunteer experience, the name of your employer, position you held, how long you volunteered for that company and experience acquired.
Volunteer Experience #1
Volunteer Experience #3
Volunteer Experience #3
References
Please list 2 references with contact information (ex: name, position, phone number, email)
Reference #2
Reference #2
Where did you find out about our organization?
Fill out the application form below or
download the digital form
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