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CONFIDENCE. CONNECTION. COMMUNITY.

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YOUR TIME
CAN CHANGE
A JOURNEY.

Share your talents, energy, and compassion to help children, adults, and families affected by alopecia feel supported, confident, and connected.

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Volunteer With
ALOPECIA SUPPORT GROUP

Pronouns
Date of Birth
Month
Day
Year
Age Range

Applicants under 18 may require parent or guardian consent and may be limited to age-appropriate volunteer roles.

Preferred Contact Method
Email
Phone
Either
Multi-line address
Which opportunities interest you? (Select all that apply.)
Skills & Experience (Select all that apply.)
Do you have any personal or professional experience with youth?
Yes
No
How often would you like to volunteer?
One-Time Event
Monthly
Twice a Month
Weekly
As Needed
Some volunteer opportunities require a background check, especially when working with youth.
I am willing to complete a background check if required.
I prefer volunteer opportunities that do not require one.
T-Shirt Size
How Did You Hear About Alopecia Support?
Do you hold any relevant certifications? (Select all that apply.)
When are you generally available? Select all that apply.
How frequently can you volunteer?*
One time per week
Two or more times per week
Every other week
Once per month
Occasionally
Special events only
Schedule varies
How long can you commit?
One-time event
Less than three months
Three to six months
Six to twelve months
One year or longer
Unsure
Preferred Start Date
Month
Day
Year
Approximately how many hours can you volunteer each month?*
1–4 hours
5–8 hours
9–12 hours
13–20 hours
More than 20 hours
Schedule varies
Do you have reliable transportation to volunteer locations?*
Yes
Sometimes
No
I am interested in remote opportunities
Are you willing to travel within the Seattle/King County area?*
Yes
No
It depends on the location
Would any accommodations help you participate fully as a volunteer?
No accommodations are currently needed
Mobility or physical-access support
Hearing or communication support
Vision support
Learning or cognitive support
Sensory accommodations
Language or interpretation support
Other
Unsure—would like to discuss privately
Prefer not to answer

Do not include medical records or highly sensitive personal information in this form.

Are you willing to follow Alopecia Support Group youth-protection, confidentiality, conduct, and safety policies?
Yes
No
Have you ever been dismissed or asked to resign from a paid or volunteer role involving children or vulnerable individuals?
Yes
No
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