Volunteer

Volunteer Information

First Name:

Last Name

Email:

Phone:

County of Residence:

Would you consider yourself neurodiverse?

Yes

Prefer not to answer

Do you have a loved one who is neurodiverse?

Yes

Prefer not to answer

Are you in a field (or student training in a field) that works with neurodiverse individuals? If so, which field?

Do you have any special skills that you would like to utilize as being a leader of an interest club for Club Little House ( ie, computer programming, theater, art, etc)?

In what capacity/ies do you see yourself working with Little House of Neurodiversity (ie, directly with clients at respite or clubs, club leader, marketing, billing, etc)?

Volunteer Information

Volunteer for Little House!

Location

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