Volunteer Application Form Interested in volunteering with the Assistive Technology Lab? We are always looking volunteers, whether you're a clinician, university student, stay at home parent or astronaut, we'd love to have you work with us. Complete the form below and we will contact you within 7 days. Thanks for your interest! Name * First Last Name * Last Email * Phone What is your preferred method of contact Email Phone Which of the following best describes you? University student Clinician Other What type of degree are you working towards? Undergraduate Masters PhD Other Name of University: Faculty and/or Department: If completing graduate research, briefly describe your research interests What type of clinician are you? (e.g. occupational therapist, physical therapist, etc) Briefly describe your clinical training Describe any previous experience with assistive technology Describe any previous experience with disability I prefer to volunteer: weekly monthly no preference Time committment < 1 hr/wk 1-2 hrs/wk 2-4 hrs/wk > 4 hrs/wk How much time are you interested in volunteering? Weekly availability Monday Tuesday Wednesday Thursday Friday Weekends Time committment < 1 hr 1-2 hrs 2-4 hrs > 4 hrs How much time are you interested in volunteering? Any additional comments?