Volunteer application

Young Physicians Initiative

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Volunteer Leader Application

Please complete the volunteer application.
Our team will review it and respond with further instructions.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Current School *

Current academic year *

Year 1 Year 2 Year 3 Year 4

Is there a particular school you are interested in working with (please check all that apply) *

Clarkston High School Academe of Oaks High School North Druid Hill High School Drew Charter High School Georgia State University Clark Atlanta Unversity Georgia Institute of Technology Agnes Scott College

Describe why you are interested in volunteering with YPI. *

Describe your previous mentoring experience and/or relevant service or leadership experience. *

I have read through the YPI Volunteer Expectations and I understand my role and expected commitment to this program. *

Yes No

Submit

Donate to YPI

YPI is part of U-Beyond Mentorship, a 501(c)(3) public charity organization.
Financial donations are tax exempt.
Tax Id: 81-2964358.