Volunteer Intake Form

Thank you for your interest in volunteering! We are a grassroots community collective created by neighbors, for neighbors. We aim to build solidarity in our neighborhoods by engaging with the principles of mutual aid: pooling resources, supporting each other’s needs and finding help for our most vulnerable neighbors. Once we receive information about your skills and interests, we will share more about our processes and how you can get involved. If you would like to help but are not able to volunteer at this time, please consider contributing financially by clicking the Donate tab on our website. If you have any questions, please email us at wbwmutualaid@gmail.com.

What is your first name?

What is your last name?

I affirm that I am 18 years old or older

What are your pronouns?

She/her, he/his, they/them, etc.

What is your phone number?

What is your email address?

Which type of volunteering would you like to do?

What Brooklyn neighborhood do you (usually) live in?

If you live in a neighborhood outside our catchment area we are happy to have you, or can help connect you to a group in your area.

Boerum Hill
Brooklyn Heights
Carroll Gardens
Cobble Hill
Columbia Waterfront
Bed-Stuy
Bushwick
Canarsie
Clinton Hill-Fort-Greene
Crown Heights
Flatbush/PLG
Park Slope
Red Hook
South Brooklyn & Gravesend
Other

How would you like us to contact you?

Which language(s) (except for English) can you verbally communciate in?

if only English, leave this field blank

How did you hear about us?

Please read the WBWMA Volunteer Waiver and Release of Liability, which is required for all volunteers

WBWMA Volunteer Waiver and Release of Liability: https://drive.google.com/file/d/1n--TZfEgpAj6FE029yPB2qZemHiSxoHA/view?usp=sharing By checking this box, I agree to the Volunteer Waiver and Release of Liability. I represent that I, the volunteer, am of legal age—or if the volunteer is under 18, that I am the parent or legal guardian of the volunteer and that I am of legal age. I understand that checking this box has the same legal effect as a written signature. I have read the Volunteer Waiver and Release of Liability and understand that by checking this box, I am giving up legal rights and remedies.

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