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Volunteer Form
The form is not complete. Required items are in red.
Personal Information
Please fill out the volunteer information form.
Name
Address
City
State
Zip
Home Phone
Work Phone
Email
Occupation
Hobbies/Interests/Skills
Enter your hobbies, interests, or skills.
Previous Volunteer Experience
Enter and previous volunteer experience.
How did you hear about the Lupus Foundation?
Please check how you heard about the Lupus Foundation.
Newspaper
Radio
TV
Friend
Family Doctor
Other
What days are you available?
Please check the days when you can volunteer.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of the day are you available?
Please check time of day when you can volunteer.
Morning
Afternoon
Evening
What are your areas of interest?
Please check your areas of interest.
Board of Directors
Support Group Leader
Clerical (Office)
Special Events
Walk for Lupus Now!
Youth Retreat
Seminar Series
Health Fairs/Speaker's Bureau
Telephone Info & Referral
Fund Development
Marketing/Public Relations
Other
Emergency Contact Information
Please enter your emergency contact information.
Name
Home Phone
Work Phone
Comments
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