Δ NameThis field is for validation purposes and should be left unchanged.Your Contact InformationName(Required) First Last PronounsOptionalhe/himhe/theyshe/hershe/theythey/themnot listedEmail(Required) Mobile Phone(Required)Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency ContactYou may optionally provide emergency contact information.Emergency Contact Name First Last Emergency Contact PhoneRelationship to YouVolunteer InformationUse the boxes below to indicate your general availability and skill set. This information is used to help us understand the types of events you may be interested in and can be updated at anytime by contacting us or signing into the Volunteer Portal.AvailabilityWeekdaysWeekendsMorningAfternoonWeeklySkillsAdvocacyEvent PlanningFundraisingMarketingOutreach/TablingPublic SpeakingSocial MediaOtherConfidentiality and Communication ConsentConfidentiality Agreement(Required) I agree to maintain confidentiality.(Required)I understand that during my volunteering, I may have access to confidential information and agree to keep this information private and not disclose it to anyone outside the organization without proper authorization, both during and after my volunteer service.Communications Consent(Required) I agree to receive communications from PFLAG Seattle.By signing up, I agree that PFLAG Seattle can contact me about volunteer opportunities via phone, email, or text. I also understand I’ll be added to the organization’s email list. I can unsubscribe from any non-essential communications at any time by following the instructions in the message, or by contacting PFLAG Seattle. Essential volunteer-related messages may still be sent.
