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Volunteering for The SAMFund
1. Default Section
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Thank you so much for your interest in volunteering for The SAMFund! So that we can learn a little bit more about you, please fill out this form. We will contact you shortly.
*
1
. Please provide your contact information so we know how to get in touch with you:
Please provide your contact information so we know how to get in touch with you:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. How would you like us to contact you?
How would you like us to contact you?
Email
Snail mail
Phone
3
. Are you a past SAMFund grant recipient?
Are you a past SAMFund grant recipient?
Yes
No
4
. How did you hear about The SAMFund?
How did you hear about The SAMFund?
5
. What best describes you?
What best describes you?
Student
Working professional
In between jobs
6
. What type of work do you do?
What type of work do you do?
7
. What skills do you have that would be helpful as a volunteer?
What skills do you have that would be helpful as a volunteer?
8
. Have you volunteered before?
Have you volunteered before?
Yes
No
9
. If yes, was it for a SAMFund event?
If yes, was it for a SAMFund event?
Yes
No
I have not volunteered before
10
. If you have volunteered for a SAMFund event, which one?
If you have volunteered for a SAMFund event, which one?
11
. If you've volunteered but not for The SAMFund, where have you volunteered?
If you've volunteered but not for The SAMFund, where have you volunteered?
12
. Have you attended a SAMFund event?
Have you attended a SAMFund event?
Yes
No
13
. If yes, which event(s) have you attended?
If yes, which event(s) have you attended?
14
. Do you have ideas for specific events you would like to help organize? If so, please tell us about them below.
Do you have ideas for specific events you would like to help organize? If so, please tell us about them below.
15
. I am interested in (please check all that apply):
I am interested in (please check all that apply):
Coordinating a fundraiser
Helping with administrative tasks
Graphic design
PR/Advertising for events
Hosting a Survivors Network event
Volunteering at a SAMFund event
Other
16
. If you chose "other," please tell us what kinds of things you'd be interested in doing:
If you chose "other," please tell us what kinds of things you'd be interested in doing:
17
. What type of time commitment would you be willing to make?
What type of time commitment would you be willing to make?
One hour per week
Two hours per month
Only at events
Other
Other (please specify)
Thank you so much! We will be in touch soon.
Samantha Eisenstein Watson, Executive Director
Michelle Zeitler, Program Director
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