Exit this survey Leadership Conference 2017 - Volunteer Registration 1. 2017 Volunteer Registration Please join us for the 7th annual Leadership Conference! The goal of this free conference is to build leadership skills to enable local residents to become actively engaged in advocacy work in their communities.VOLUNTEERS are needed to make this event possible. Any time you can give is greatly appreciated! Sign up using the form below.SOUTH SHORE LEADERSHIP CONFERENCESaturday June 10, 20178:30 am - 3:00 pmWest Middle School, BrocktonQuestions? Call The Family Center at 508-857-0272 or email juliana.langille@ccbrockton.org Question Title Question Title * 1. Please enter your contact information: Name: * Company/organization (if applicable): Address: * Address 2: City/Town: * State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: * Phone Number: * Question Title * 2. I would like to volunteer for... Children's activities Information table (help others find their way to workshops, etc.) Welcome and Registration Set up and/or clean up Support presenters and speakers Other (Anything else needed during event) Question Title * 3. Please select the times you are available to volunteer. Choose all that apply: 8:30 am -11:00 am (Set Up) 10:00 am -12:00 pm 11:00 am -1:00 pm 1:00 pm -3:30 pm (clean up) I am willing to work with children during the children activities (CORI form will be required) I am available to help all day from 8:30am to 3:30pm Other All volunteers are invited to attend keynote speaker presentations and leadership workshops. Breakfast and lunch are provided to all attendees and volunteers. Question Title Thank you for volunteering!!! See you at the 7th annual Leadership Conference! Done