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Volunteer Application

COVID-19 UPDATE

We have suspended all in person volunteering until further notice. However, we need you now more than ever to be advocates from afar! We have our community engagement efforts on digital platforms and need support from volunteers. Although our volunteer program has changed drastically, our work is more important than ever and will continue!

Please fill out the application below. Our expectation for volunteers is to complete two volunteer shifts per month for at least 3 months. After we receive your application, we will contact you about scheduling a 30 minute interview. We will also contact two professional references that you list. Please understand that filling out an application does not guarantee a volunteer position. The application process can take up to 4-6 weeks.

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone number * ### - ### - ####
Is this a cell? *
Yes No
Date of birth * MM / DD / YYYY
Are you over 18 years old? *
yes no

(Applicants under 18 years of age need parental consent to volunteer with PPSP)
Since your 18th birthday, have you been convicted of any criminal offense? *
yes no
If yes, please briefly explain:
PPSP requires criminal background reports from state and federal law enforcement agencies, as required by the Pennsylvania Department of Health and/or other agencies who regulate our work. By checking the box below, you agree to authorize PPSP to perform applicable background checks. *
I agree.
Email *
Occupation
Employer
Are you a student?
yes no
If yes, what school?
Do you need community service hours?
yes no
How many hours?
*Briefly explain why you are interested in volunteering for PPSP and what you hope to offer *
Have you ever worked/volunteered for Planned Parenthood before?
yes no
If yes, when and where?
Role preference (check all that apply)
Planned Parenthood Southeastern Pennsylvania is involved in several issue campaigns and activities. We need volunteers to support our work in all areas. Due to the COVID-19 Pandemic, we're providing volunteer opportunities through digital outlets. Please check off any and all that interest you:
Voter Education and Registration Join our Patient Advocacy Program & Share Your Story Rapid Response to defend access to Reproductive Healthcare Solidarity and Outreach to support other Social Justice movements and partners Electoral Voter Education on Local and National Reproductive Health Champions WordSquad: Be an activist from your home by writing letters to the editor, blog posts, or spread the word about PPSP via social media. Volunteer Leadership: Come together with organizers to help plan advocacy efforts and volunteer activities.

Where are you based?
Center City, Philadelphia Northeast Philadelphia Montgomery County Chester County Delaware County

How long of a commitment can you make to PPSP?
3 months up to 6 months A year or more

Please list two professional references.

Your references need to be of a professional nature. This means you should choose someone who can speak from a less biased place than, say, your parents or best friend. Examples include: former/current managers, co-workers, teachers, professors, leaders from your place of worship, or people you’ve volunteered with.

Name: *

Email: *

Please be sure to double-check the spelling of your reference's email address!

Phone: *

Relationship: *

Name: *

Email: *

Please be sure to double-check the spelling of your reference's email address!

Phone: *

Relationship: *

Current Or Previous Volunteer Experience

Where:

Position:

Dates of service

Please provide an emergency contact:

Name: *

Phone: *

Relationship: *

Gender

Your pronouns:

Age group
under 18 18-25 26-40 41-60 60+

Ethnicity (Check All That Apply)
African-American Asian/Pacific Islander Caucasian/White Latino/a/x Native American or Indigenous Middle Eastern Don't want to disclose

Write in option for ethnicity:

By applying, I acknowledge that I will be spending time at Planned Parenthood and providing services to Planned Parenthood as a volunteer or intern. I understand that as a volunteer or intern I will not be entitled to any pay for the time that I spend at PPSP. If in the future I wish to be employed by Planned Parenthood, then I understand that I will be required to apply for work through PPSP's Human Resources Department. *
Check here to accept conditions

Today's Date MM / DD / YYYY

Planned Parenthood Pennsylvania Advocates is our advocacy and political arm. Would you like to join our Action Network to be kept up to date on legislative happenings?
YES NO

Do Not Fill This Out

Wufoo

Role preference (check all that apply)

Current Or Previous Volunteer Experience

Please provide an emergency contact: