Welcome back to the Ally Program!

First Name

Last Name

Email Address

Phone_Number

Street Address

City

State

Zip Code

When were you most recently an Ally?

What did you enjoy the most about your previous Ally experience?

What Challenges did you face as an Ally?

Why are you choosing to become an Ally again?

Which areas do you hope to grow in during your time as an Ally?

Have you experienced any significant life changes since last being an Ally, that will impact your ability to serve as an Ally (either positively or negatively)?

Which of the following options best describe your current employment status? Which of the following options best describe your current employment status?Employed Full-Time (31+ hrs/week)Employed Part-Time (less than 30 hrs/week)Stay-at-home Parent/CaregiverRetiredFull-Time StudentPart-Time Student AND Working Part-TimeMilitaryUnemployed for 6 months or less, currently looking for employmentUnemployed for more than 6 months, looking for employment

Current Employer

Current Job Title

How long have you worked in this job?

Where do you currently attend school?

What degree/certification are you currently pursuing?

How many years of full-time work experience do you have? How many years of full-time work experience do you have? Less than 1 year 1-2 years 3-5 years 6-10 years More than 10 years

Most Recent Employer

Most Recent Job Title

When did you leave this job / When did this job end?

Why did you leave this job? Why did you leave this job? Quit / FiredI am pursuing a different career/jobIt was a temporary/seasonal jobI am currently on temporary leave due to COVID-19Other COVID-19 related causesPrefer not to answer

Please list a CrossPurpose Staff member who can speak to your past experience as an Ally

What is your preferred method of contact? What is your preferred method of contact? TextCallEmail

Please read through the following Ally commitments and disclaimers, and check each box to agree. Acceptance to the Ally Program requires agreement to each of the following: Please read through the following Ally commitments and disclaimers, and check each box to agree. Acceptance to the Ally Program requires agreement to each of the following: I understand that Leaders are held to high standards of attendance and engagement at Family Gathering events, and that we hold Allies to a similar standard. Change happens with significant relationships, and significant relationships require consistent presence and engagement. As an Ally, I understand that I am committing to attend 100% of Family Gatherings and Ally Trainings, outside of unavoidable emergencies. I feel comfortable attending on campus Family Gatherings and will comply with necessary COVID-19 precautions, which include but are not limited to, temperature checks, health screenings, social distancing, and the use of masks when necessary. I understand that CrossPurpose is taking the utmost care in implementing and maintaining COVID-19 precautions, and that I will play my part in upholding a safe and comfortable environment I understand that completing of this form does not guarantee my acceptance into the next Ally cohort, and that my profile will be reviewed by our Volunteer team