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Phone
This field is for validation purposes and should be left unchanged.
Name
*
First
Last
Email
*
Mobile Phone
*
10 digits only
Age
Please enter a number from
1
to
99
.
Parent information is required if under 18.
Parent/Guardian Name
First
Last
Parent/Guardian Email
Parent/Guardian Mobile Phone
10 digits only
Do you have lived experience with foster care, the child welfare system, or a related system?
*
Yes
No
Please tell us more about your connection to foster care, the child welfare system, or related systems. This may include personal experiences, family experiences, advocacy, community involvement, education, employment, or other meaningful connections.
*
Do you live in Metro Atlanta?
*
Yes
No
How did you hear about this opportunity?
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--Select--
Friend or Family Member
United Way Website
Referral from another nonprofit
Social Media
Previous involvement with our organization
School, college, or university
Other (please specify)
If “Other,” please specify
*
Why are you interested in this opportunity?
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Tell us about any experiences you’ve had serving, supporting, or helping your community. This can include volunteering, school clubs, sport teams, faith-based activities, community organizations, peer mentoring, advocacy, leadership activities, or family responsibilities.
*
Is there anything else you would like us to know about you, your experiences, or your interest in this opportunity?