Thank You for Your Interest in Volunteering with Power Up USA!

Your time and talents can help us bridge the digital divide and empower communities across the nation. Please fill out the form below to get started.

Full Name

Phone

Date of birth

Address

City

State

Postal code

Which areas are you interested in volunteering? (Check all that apply)

Preferred Times:

Skills and Experience

Please describe any relevant skills or experience you have:

Do you have experience with any of the following?

Background Check

Have you ever been convicted of a felony?

Please provide details, if yes:

(Note: A background check may be required for certain volunteer roles, especially those involving vulnerable populations such as youth and seniors.)

Emergency Contact Information

Emergency Contact Name

Relationship to You

Emergency Contact Phone Number

How did you hear about us?

Message

Volunteer Agreement

I agree to adhere to the guidelines and policies set forth by Power Up USA during my volunteer service.

I understand that my volunteer service may involve working with sensitive information and agree to maintain confidentiality as required.