Please take a minute to share some information with us! If you have suggestions or ideas, you may use this form to include them as well!
Volunteer Inquiry Form
(All information is confidential and optional to provide)
Which age group do you fit in?
Under 10 years
High School Grad. Year
Email Address (example: email@example.com)
Are you interested in becoming a local or area Ambassador for this program?
If under the age of 16, are your parents/guardians in agreement with you volunteering for The Difference Maker Organization? If so write YES in the answer field. If the answer is no, please indicate NO.
Provide your questions or comments here!
How did you hear about our
The Difference Maker
Choose the best way for us to contact you:
Phone - Daytime
Phone - Evening
Do you promise to make a positive difference in someone's life every day? Will you learn the Difference Maker Pledge (on the front page of www.thedifferencemaker.org) and live by that pledge? If YES, please state YES in the answer section. Otherwise write "not sure."
- THANK YOU -
Thank you for your comments or questions. We'll be in contact with you very soon if there is a need. In the meantime, please enjoy our site after you click on SUBMIT.