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Volunteer Registration

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If you are considering volunteering your time, skills and experience to support your local school as a MOUSE Squad Volunteer, please fill out the form below and a MOUSE Squad of California representative will contact you shortly.


Your Name:
Street Address or P.O. Box:
City, State ZIP:
Today's Date (mm/dd/yy):
Employer, position and/or function:
Contact Email:
Contact Phone:
Best time/method to contact you:
  1. The program is usually Monday through Friday from 8 AM to 6 PM. What is your availability (check all that apply)?

    AM      PM      Late PM
    Monday   Tuesday   Wednesday   Thursday   Friday   Saturday
    It's more complex than this. Contact me.


  2. What operating system do you prefer?
    A Mac site      A Windows site      It doesn't matter to me


  3. What grade level (ages) do you prefer (check all that apply)?
    Elementary (5-10's)   Middle (11-13's)   High School (14-18's)


  4. What County do you prefer (check all that apply)?
    Alameda County   Contra Costa County   Kings County  
    Monterey County   San Francisco County   San Mateo County  
    Santa Clara County   Stanislaus County  


  5. What is your preferred city or cities, if any?


  6. What are your technical and/or educational skills you feel are relevant?



  7. What is your previous experience, if any, with youth or volunteer groups (i.e., clubs, churches, synagogues, service groups, etc.)? 



  8. What are your interests (technical or otherwise)?



  9. Please indicate what languages you speak.



  10. How did you hear about the MOUSE Squad program (if from another website, please identify it)?



  11. Why do you want to volunteer with the MOUSE Squad program?



  12. Any additional comments?

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Thank you for filling out the Volunteer Registration form. Please click on the Submit Registration button and someone will contact you shortly.

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