Name
Preferred Gender Pronoun
Street Address
City, State, Zip Code
Phone Number
E-Mail Address
Availability
During which days and hours are you available to volunteer? (Please note that drop-in is
Mondays, Tuesdays, and Thursdays from 1:30 - 4:30 and Wednesdays from 11:30 - 1:30.
We are open for non-drop in hours Fridays from 9 - 5)
General Interest
Please briefly answer the following questions:
What makes you want to volunteer with YES?
What interests you about working specifically with youth (ages 14-25)?
Please briefly list and explain any specific skills, knowledge or
experience you have acquired from employment, previous volunteer
work, or other activities like hobbies or sports that will inform
your time at YES:
Group Activity
What is the activity you are interested in facilitating? Please describe it here:
Due to the nature of drop-in, sometimes ten people will be in your
group and sometimes only one. How will you manage the group with
different people, and different numbers of people, coming each week?
Sometimes it can be difficult to get people to participate in groups
during drop-in. How will you encourage people to attend and
participate in your group?
Commitment to Safe Space Practices
The Youth Empowered Society (YES) is committed to providing a safe space for all of our youth clients
despite any differences of race, color, religion, national origin, gender, gender identity or expression,
sexual preference/orientation, age, or disability. This means we do not discriminate against or judge
any of the youth based on these attributes - we celebrate them for who they are.
Please express any concerns or apprehensions you have about this policy if any:
References
Please provide two references (two people who can accurately describe your work ethic and character):
(1) Name (1) Phone (1) E-Mail (1) Relationship to you
(2) Name (2) Phone (2) E-Mail (2) Relationship to you
Person to Notify in Case of Emergency
Name Street Address City, State, Zip Code Phone NumberE-Mail Address Relationship to you
Our Policy
It is the policy of this organization to provide equal opportunity to volunteer without regard to race,
color, religion, national origin, gender, gender identity or expression, sexual preference/orientation,
age, or disability.
The Youth Empowered Society Drop-In Center is a program of Fusion Partnerships, Inc.
*Thank you for completing this application form
and for your interest in volunteering with YES.*
Please note: YES reserves the right to dismiss any volunteer who does not affirm YES youth or otherwise meet our expectations for safe and appropriate behavior.
