Name *

First Name

Last Name

Add me to OPEN M's Email List *

Yes

No

How did you hear about OPEN M? *

OPEN M staff or volunteer

Family/Friends

Social Media

Search Engine

Press

Other

Have you ever been convicted of any criminal offense (other than traffic violations)? *

Yes

No

I agree to a background check if necessary *

Yes

No

I grant permission to OPEN M to be photographed or videotaped for the sole purpose of promoting OPEN M *

Yes

No

As an OPEN M intern, I will treat everyone equally with respect and dignity; embody OPEN M's mission and vision; tell my supervisor in advance when I cannot come; maintain confidentiality pertaining to client information and alert my supervisor if I believe someone is in a dangerous situation; discuss any problem or conflict with my supervisor or the Volunteer Manager.

Yes

No

What department(s) are you interested in? *

(Check all that apply)

Clinic

Pantry

Marketing

Employment Services

Open to any department

What type of experience are you looking for? *

(Check all that apply)

Course credit

Volunteer hours

Skill building

Career exploration

Other

How many hours per week are you available? *

5–10

10–15

15-20

30+

Preferred schedule *

Mornings

Afternoons

Specific days

What skills do you already have that may apply to this role?

(Check all that apply)

Customer service

Microsoft Office / Google Workspace

Video editing

Photography

Graphic design

Social media management

Healthcare admin

Food handling/distribution

Resume writing / job coaching

Other

I confirm that the information provided is accurate and I understand that placement is based on availability, department needs, and experience. *

Yes