Volunteer Form Step 1 of 3 33% Your Personal InformationYour Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Your Email Address Your PhoneBest Time To Call YouWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly EveningEmployerTitleResponsibilitiesHow did you hear about us? What Type of Volunteer Opportunities Interest You?Volunteer Positons(Required) Small Events - Handing out LBP info at fundraisers and breast cancer events Large Events - Being part of a committee for larger events. ie., Helping with marketing, sponsorships & donations, staffing, planning, etc. Delivering Gifts to Patients Administrative - Updating files, spreadsheets, typing correspondence, stuffing and mailing letters and thank yous, etc. Social Networking - Posting updates to Facebook, Twitter and Instagram. Working on updating our website. Grant Writer Planning Monthly Support Meetings/Get Togethers Putting together monthly newsletter Select AllWould you be willing to sign a confidentiality form? Let Us Know What Your Talents AreWord None Working Knowledge Proficient Excel None Working Knowledge Proficient MailChimp None Working Knowledge Proficient Photoshop None Working Knowledge Proficient PowerPoint None Working Knowledge Proficient Marketing None Working Knowledge Proficient Other (Describe)How much time are you willing to volunteer?Please enter a number from 0 to 999.Do you have computer and internet access?Have you ever been convicted of a criminal offense? Yes No Please explainEmergency ContactName Name PhoneRelationshipAnything else you would like to add?Agreement(Required) I hereby certify that all information supplied is true and complete and is subject to verification. I agree and understand that any falsification of information herein, regardless of time of discovery, may constitute fraud. All information supplied herein is strictly confidential.NameThis field is for validation purposes and should be left unchanged.
