* 1. Please provide for our confidential database your:
First name and last name,
Address, City, State, Zip Code.
Home phone#and/or cell phone#
Email address

* 2. What issues are you especially interested in?

* 3. What countries are you especially interested in?

* 4. What areas do you have experience in?

* 5. What areas would you like more experience in?

* 6. PCASC is starting a new mentorship program. This will enable new volunteers and longtime volunteers to share knowledge and experience. The program would require a 1-2 hour per week time commitment for the ongoing program, or you can volunteer to lead workshops that would be about every 1-3 months. Are you interested in being a mentor?

* 7. Are you interested in being mentored?

* 8. How many hours per week would you like to volunteer for PCASC?

* 9. What hours/days are you available?

* 10. Do you have any other questions, suggestions, or comments?