Volunteer Sign-Up

Become an Active Volunteer for Our Empowered U Program

Get involved and become an active volunteer with our Empowering Minds™ Teen Empowered U Program! With your commitment and involvement, we will be able to continue training and making our future programs as impactful for others as your training was for you. We appreciate your commitment to volunteering your time to empowering teens! Based on the available volunteering opportunities, you will receive an email confirmation for the dates you have signed up for. Should you need to change your schedule, please notify us at your earliest convenience.

Please fill out the form below to confirm your attendance to volunteer during an Empowering Minds™ Teen Empowered U Program.  Once you have registered for a preferred date to volunteer, you will receive a confirmation email and information details regarding the event. Questions about volunteering? Email us: [email protected]

Personal Information

Volunteer Type

Date to Volunteer

First and Last name

Phone

Birthday (MM/DD/YYYY)

Email

Emergency Contact Name

Emergency Phone Number

Guardian Information

If under 18 parents name

Parents phone number (if under 18)

Medical Information

Are you currently taking any medications
 Yes No

If yes, please list

Please describe any past or current medical or physical condition(s):