VOLUNTEER FORM

Full Name (First, Last):

Mailing Address:

Email Address:

Primary Phone Number:

Emergency Contact Name:

Emergency Contact Phone Number:

What type of volunteer roles are you interested in?
1 Administration
2 Public Relations
3 Media Relations
4 Research
5 Journalism
6 Volunteer Management
7 On hand at the actual events (registration, organization, etc.)
8 Other:

What skills would you say you possess?
1 Windows XP/Vista
2 Administration
3 Public Speaking
4 Activism
5 Working with South Asian Community
6 Family and Children’s Services
7 Health and Rehabilitation
8 School Social Work
9 Housing
10 Incoming Maintenance
11 Community Development

Other skills you think we should know:

What do you want to gain out of this experience?


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