Junior Volunteer Program Application

Your Name

First Last

School You Attend

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Of Years Residency in Current State(Required)

Previous State of Residency(Required)

Parent's Name(s)(Required)

Phone(Required)

Email

Date of Birth

Driver’s License Number

How did you hear about dec my room?

Why do you want to be a volunteer for Dec My Room?

Will you be comfortable interacting with very sick children and young adults?(Required)

Yes

No

Would you be able to shop and decorate a hospital room at least three times a year?(Required)

Yes

No

Do you want to be a fund raiser?

**Optional: Please click NEXT if you want to SKIP this step.

Section Break

Why do you want to be a fund raiser for dec my room?

Please list all of the major fund raising events you have lead or with which you have participated in your area?

First Method

Second Method

Third Method

To Start Up a new Dec My Room Chapter?

**Optional: Please click NEXT if you want to SKIP this step.

Place of employment, If applicable

Please list the pediatric hospitals in your area.

Please list all of the non-profit and volunteer organizations with which you have been affiliated.

Name of the organization, please also list the current leader, their contact information:

POSITION(S) You've held with that organization:

How many years have you been involved:(Required)

Purpose or focus of your work:

What is your vision of leading a Dec My Room organization in your area?

Please include all details:

Which major fund raising events you have lead/participated in your area? please include name, date, outcome and obstacles.

Scan or click for Monthly Donation

Junior Volunteer Program Application

To Be A Junior DEC Volunteer

Do you want to be a fund raiser?

Section Break

To Start Up a new Dec My Room Chapter?

What is your vision of leading a Dec My Room organization in your area?

Junior Volunteer Program

GIRL SCOUT SILVER PROJECT

Quick Links

Houston, TX

Follow Us

Scan or click for Monthly Donation

Junior Volunteer Program Application

To Be A Junior DEC Volunteer

Do you want to be a fund raiser?

Section Break

To Start Up a new Dec My Room Chapter?

What is your vision of leading a Dec My Room organization in your area?

Junior Volunteer Program

GIRL SCOUT SILVER PROJECT

Quick Links

Houston, TX

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