Individual Information

 
33% of survey complete.

1. Organization or Group Name:

2. Please tell us about your group:

3. Affiliation:

4. # of Volunteers in Group:

5. Age Range of Volunteers:


***Must be at least 16 years of age (14 and 15 years of age if accompanied by an adult).

6. Group Contact Name:

7. Title:

8. E-mail:

9. Address:

10. City:

11. State:

12. Zip:

13. (H) Phone:

14. (W) Phone:

15. (C) Phone:

16. Would you prefer to be contacted by:

17. Secondary Group Contact Name:

18. Best Contact Phone:

19. E-mail:

20. Why did you choose to help support the Vermont Foodbank mission?

T