KAPTIN Registration Form

Affiliated with an organization or a company?

How did you initially learn about Koreatown Empowerment Center?

Do you have experience serving in bilingual?(required)

Do you have experience in filing an online application?(required)

Gender

Please select your preference of the method of service. (required)

Please select your preference of day of the week for service. (Check all that apply)

Professional Skills and Experiences that you will bring to KAPTIN service opportunities ( Check all that apply)