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2011 Volunteer Interest Form
1. Volunteer Interest Form
Thank you for your interest in volunteering for The Periwinkle Foundation. Please share your interests and skill sets with us so we can find the best volunteer opportunity for you. Please contact Erin Overhouse with any questions. 713-807-0191 or eoverhouse@periwinklefoundation.org
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1
. Please share your contact information.
Please share your contact information.
Name:
Company:
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:
Country:
Email Address:
Phone Number:
2
. Would you like to receive one of our e-newsletters? You can select more than one.
Would you like to receive one of our e-newsletters? You can select more than one.
General E-Newsletter (4-6 annually)
Volunteer E-Newsletter (Monthly Volunteer Opportunities)
Camp E-Newsletter (4-6 annually)
Arts & Creative Writing Program E-Newsletter (4-6 Annually, Making A Mark, The Splendid Review and More)
3
. I'd like to donate my time to:
I'd like to donate my time to:
Working with small children
Working with teens
Helping with art and crafts projects
Organizing events
Offering behind-the-scenes support
Volunteering at a camp
Working on Website / Creative (skilled / professional volunteers only please)
Help with fundraising activities
Help with grant writing / research
Other (please specify any qualifications pertaining to your interests )
4
. Explain more about your interests in volunteering. Why would you like to volunteer with The Periwinkle Foundation?
Explain more about your interests in volunteering. Why would you like to volunteer with The Periwinkle Foundation?
5
. What skills and qualifications do you have that you would share with us? (ex. Photography, Website Development, CPA, Recruiter, Counselor, etc...)
What skills and qualifications do you have that you would share with us? (ex. Photography, Website Development, CPA, Recruiter, Counselor, etc...)
6
. How often do you anticipate that you will be able to volunteer?
How often do you anticipate that you will be able to volunteer?
Weekly
Monthly
2-3 times per year
Once a year
Other
Please specify
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