Geena Davis Institute on Gender in Media Volunteer Information Form
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Custom field 1:

Required 2.
Employment Information/Employer/Job Duties
 

1000 characters left.
Required 3.

Please describe relevant experience.

 

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4.

Do you speak any language other than English? If yes, please list.

 

50 characters left.
Required 5.

Do you have friends or acquaintances employed with or currently volunteering with the Institute?

Yes
No
  • Comment:

  • 500 characters left.
Required 6.

Have you ever been arrested or convicted of a crime?

Yes
No
  • Comment:

  • 500 characters left.
VOLUNTEER EXPERIENCE & EDUCATION
 
7.

Past volunteer experience (name/organization, duties performed, dates). 

 

350 characters left.
Required 8.

Completed Degree

High School Diploma
Associate's Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Other  
  • Comment:

  • 500 characters left.
Required 9.

Name of HIghest Educational Institutuion

 

50 characters left.

 VOLUNTEER INTEREST AND AVAILABILITY 

As a volunter, we ask that you are able to volunteer at least four-hours per week unless working as an event volunteer. Most volunteer activities will be performed in your own home. 

 
Required 10.

Availability (hours per week/days per week/length of commitment)


 

350 characters left.
In the following section, please rate your level of interest of volunteering in each area of need.
 
Required 11.

Fundraising and Events

 Not Sure Least Interested Some Interest Most Interested  
Help us grow our new membership and See Jane Salon program  
Help us to engage potential sponsors and funders  
Help us program and produce our events  
Help up solicit gift bag items for events  
Be a day of event volunteer (Los Angeles, New York, DC)  
  • Comment:

  • 500 characters left.
Required 12.

Research 

 Not Sure Least Interested Some Interest Most Interested  
Expanding our research findings and resources section on our website  
Perform a literature review of research related to the impact of media on children as it relates to self-esteem, careers, cultural behavior, etc.  
Research and compile a database of entertainment education programs in the United States.  
Research and create a database of "interesting women" who have accomplished amazing things.  
We welcome the idea to discuss independent research studies from qualified individuals.  
  • Comment:

  • 500 characters left.
Required 13.

Outreach and Educational Programs 

 Not Sure Least Interested Some Interest Most Interested  
Educators that can utilize the research findings to develop and/or teach educational workshops, classes and curriculum.  
Assist in the development, coordination, and recruitment of members for our Educational Media Literacy Council.  
Host an online educational event with the Institute's CEO, Madeline Di Nonno  
  • Comment:

  • 500 characters left.
Required 14.

Marketing & Public Relations

 Not Sure Least Interested Some Interest Most Interested  
Help us expand our social network on Facebook, Twitter and other social media platforms.  
Serve as a online citizen journalist, or blogger  
Copywriters  
Graphic design, video production/editing  
  • Comment:

  • 500 characters left.
Required 15.

Administration

 Not Sure Least Interested Some Interest Most Interested  
Assistance with contact database including data entry, importing and exporting data, and cleaning content.  
  • Comment:

  • 500 characters left.
Required 16.

Why are you interested in volunteering with the Geena Davis Institute?


 

1000 characters left.
Required 17.
I hereby affirm that the information provided on this application is true and complete to the best of my knowledge and agree to have any of the statements checked by the organization. I understand that providing any false or misleading information or any omissions may disqualify me from further consideration as a volunteer and may result in my immediate termination, even if discovered at a later date.
Yes
No