Volunteer Interest Form

The Office of Student Leadership and Civic Engagement only serves members of the NSU community (NSU students, faculty, or staff).

* Denotes Required Fields

N#: *
First Name: *
Last Name: *
Year of Graduation:
Office: (if NSU faculty/staff)
Address: *
City: *
State: *
Zip: *
Phone Number: *
NSU Email Address: *
Your Organization: (if applicable)

College/School:

How did you hear about this office?
(Please check all that apply)

Newspaper Ad
Website
Word of mouth
Flyers/Publicity
Other

Service project for a group?

If so, for how many people:

How frequently are you interested in performing a service?
(Please check all that apply)

Single Day
Weekdays (continuous commitment)
Weekends (continuous commitment)

Please briefly indicate your volunteer interests: