Volunteer

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

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Department Applying to:* GeneralCampus ManagmentDevelopment/FundraisingIncubation/Start-up ProgrammingMarket Transformation (Transportation, Energy, Pilots Initiatives)Enhancing Community (Workforce Development, DEI)Marketing & Communications (PR, Graphic Design, Social Media)Public Policy/Government RelationsOperationsAdvanced Prototyping Center/ Machine Stop- VolunteerAdvanced Prototyping Center/ Machine Shop- Advisor

How many hours are you available to volunteer per week?*

When are you available to start?*

Highest level of education*

What would your most like to get out of this volunteer opportunity? What types of assignments or responsibilities most interest you? How can you make an impact?*

Please elaborate on any background, experience, or qualifications you would like to share that you think we should know about*

Please let us know if you were referred to this position by someone in the LACI community or if you know someone in our community.

As indication that you have read and understood this waiver, please e-sign below.

In compliance with federal law, all persons selected will be required to show documentation verifying identity.

In exchange for the consideration of my application to the Los Angeles Cleantech Incubator (LACI), I agree that:

-I authorize investigation of all statements contained in this application, including background checks.
-I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice
-I hereby give LACI permission to contact schools, previous employers, references, and others, and hereby release LACI from any liability as a result of such contact.

Please e-sign name to acknowledge understanding*

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