Volunteer & Mentor Application Form

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Gender Identity

Multi-line address

Country/Region

Address

City

Zip / Postal code

Are you employed?

Yes

No

Company Name & Phone Number

Position

Preferred method of contact?

What role(s) are you interested in? (Check all that apply)

Do you have lived experience (e.g. street life, incarceration, addiction recovery, etc.) that you'd be open to using to mentor others?

Option 1

Option 2

Have you volunteered or mentored before?

Yes

No

What age group or population do you feel most comfortable supporting?

Why do you want to volunteer or mentor with C.R.I.P.S.?

Do you consent to a basic screening process if needed for mentoring roles?

Yes

No

Do you permit being contacted by C.R.I.P.S. for volunteer or mentorship opportunities?

Yes

No

Yes, I agree to be contacted about upcoming events, training, or placements.

🙌🏽 Volunteer & Mentor Application Form