PCIC Volunteering Applicants
*
indicates required
Name:
Email:
Comment:
First Name
*
Last Name
*
Email Address
*
Phone Number
*
What school/organization are you affiliated with?
How many hours per week are you available?
Are you interested in serving within area or role?
Yes
No
When are you available to start?
In what kind of compensation are you interested?
Paid
Unpaid
Either
Do you have a valid driver's license?
Yes
No
Do you have access to a car?
Yes
No
Are you applying for an internship or co-op?
Internship
Co-op
Why do you want to be a volunteer at PCIC?
Specialty Area
Do you have any special skills/certifications?
Please describe any previous relevant experience
How did you find out about PCIC?
Resume
Please email your resume to support@pcictx.org