Youth Suicide Prevention Program Volunteer Form

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YSPP Volunteer Application

Thank you for your interest. *Washington State residents are welcome to submit this volunteer form.

* If you reside outside of Washington State, we suggest you look for a contact in your area by going to the national Suicide Prevention Resource Center website.

If you are interested in working with us on youth suicide prevention, please fill out this form. Bold fields are required. Your contact information will remain confidential.

Thank you!

Name:
Phone: (home)
(work)
(cell)
Email:
Address:
City:	State: Zip Code:
Age: (if under 21)
Education:	(Select all that apply; use CTRL-click to select)
Describe any involvement with student clubs, ASB student government positions, social organizations or sports.
If this request to volunteer fulfills a school/college requirement, describe the expectations regarding the number of hours that need to be served and the type of volunteer work that needs to be done.
Describe any involvement with other non-profit organizations, civic politics, or if you have experience with boards of directors.
Describe in detail your present employment or activities, and how this experience relates to current opportunities at YSPP.
Describe in detail your present or previous volunteer experience, and how this experience relates to current volunteer opportunities at YSPP.

Check any of the following skills needed by YSPP.(check all that apply)

Fundraising	Event Planning
Newsletter Layout/design	Other Graphic Design
Board Membership	Soliciting In-Kind Contributions
Language/translation	Office Work (collating, mailings)
Public Speaking

Have you had any involvement with youth who have attempted or died by suicide?

Yes No
If yes, what has been your personal involvement?

Please list 2 (two) personal and /or professional references:

1.	Personal Professional
Name:
Email:
Address:
City/State/Zip:
Phone:

2.	Personal Professional
Name:
Email:
Address:
City/State/Zip:
Phone:

Please check any days/times you are generally available.

Monday	Tuesday
Wednesday	Thursday
Friday	Saturday
Sunday

Please check which time of day is best for you to volunteer.

Mornings

Afternoon

Evenings

Finally, how did you learn of this volunteer opportunity?

Youth Suicide
Prevention Program
email: info@yspp.org
444 NE Ravenna Blvd., #401
Seattle, WA 98115
(206) 297-5922 (office)
(206) 297-0818 (fax)

website: metatoggle