Volunteer Interest Form

Name: *

First

Last: *

Last

Email: *

Daytime Phone:

Mobile Phone:

Address 1:

Address 2:

City:

State:

Country:

Do you have particular skills that you’d like to put to use? For example, we sometimes need help with graphic design, bookkeeping, journalistic writing, press releases, videography, fundraising, event planning, grant writing, legislative advocacy, and secretarial/administrative tasks. Please don’t limit yourself to these – chances are that if you have a skill, we can put it to work. *

What types of activities appeal to you? (please select as many as apply)

Things I can do by myself at home on the computer

Things I can do by myself at home on the phone

Activities that involve my family and friends

Activities that allow me to meet other people with cavernous malformations (cavernous malformations, cavernoma)

How many other responsibilities do you have in your life? (please select one)

I’m home all day with lots of time on my hands

I’m home with primary responsibility for my children or partner

I work part-time, and have few family responsibilities

I work full time, and have few family responsibilities

I have both job and family responsibilities

How many hours a week do you have available for volunteering?

How did you hear about Alliance to Cure Cavernous Malformation?

Is there anything else you’d like to share about yourself or your preferences for volunteering?

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