Tech Help Registration Form 2025-26

Tech Help Registration Form

Thank you for your interest in DOROT's Intergenerational Programming.
Register for the Teen Tech Help Sessions you are interested in joining!

Contact us at Sharemywisdom@dorotusa.org with any questions.
Have you volunteered/participated with DOROT in the past?*

YesNo
Name*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Apartment (if applicable)

CityState / Province

Postal / Zip Code
Preferred Phone Number:*
Mobile Number
Home Number
Birth Date*

MonthDayYear
Gender*
What pronouns do you use? (choose/describe all that apply)

She/Her/HersHe/Him/HisThey/Them/TheirsOther
Please describe yourself. Check all that apply: (For demographic purposes only, please select all that apply)*

WhiteBlack or African AmericanHispanic, Latino or Spanish originAsianAmerican Indian or Alaska NativeNative Hawaiian or other Pacific IslandPrefer not to answerOther
Do you consider yourself to be...? (For demographic purpose only, please select all that apply)*

ChristianJewishMuslimBuddhistHinduIndigenous ReligionAgnosticPrefer not to answerOther
Choose ALL that apply: I speak the following languages in addition to English

American Sign Language (ASL)ArabicCantoneseFrenchGermanHebrewHungarianItalianMandarinPolishRomanianRussianSpanishYiddishOther
Have you participated in GENuine Connections before?

YesNo
I heard about DOROT through*

DOROT EmailDOROT WebsiteFamily/Friend/NeighborReligious InstitutionCommunity GroupNORCNewspaperTVFacebookInstagramSocial MediaGoogleRadioGovernment OfficeUJA/FederationAARPRSSNYCBrooklyn Public LibraryOther
Tech Help

From smart phones to tablets and computers, teens will be given the tools and preparation to assist DOROT adults navigate the technologies that keeps us just an app away. On Thursdays from 4:30 PM to 5:30 PM, you can select multiple sessions!
Tech Help, Thursdays, 4:30PM - 5:30PM; You can select one or more dates:

11/2012/412/11
Virtual and Online Programming: Get to know teens and other adults through a variety of Zoom programs via GENuine Connections.

Yes, send me more information about GENuine Connections.
School Partnerships: Are You Interested in Joining Students from K-12 for a Variety of Programs?

Yes
I give DOROT, Inc. the irrevocable right to take and use my name, picture, likeness, photograph, film, videotape, and/or verbal or submitted written statement in all forms and media and in all manners for any editorial, promotional, fundraising, internet (website) and/or publicity purposes of DOROT, Inc. I understand that I may be identified by name, age and/or occupation in connection with the public, private and/or internal use of this material. I grant this consent as a voluntary contribution to DOROT, Inc. and waive any rights I may have in connections with any use of the material, including any right to inspect or approve the finished use, including any written copy that may be created in connection with such use.*

YesNo
Have you, since attaining the age of 18, been convicted of a criminal offense? (Conviction will not disqualify you from volunteering unless there is a direct relationship to the volunteer task or your volunteer activity would pose an unreasonable risk to property or safety.)*

YesNo
Contact us at sharemywisdom@dorotusa.org with any questions.

Thank you again for your interest in DOROT's Intergenerational Programs.
Should be Empty: