Healthy Androscoggin VetCorps
Volunteer Survey

Volunteer Survey

Healthy Androscoggin VetCorps program is working to find volunteers among the local community to help bring Androscoggin County together to meet the needs of the Military community.
For more information, contact Alley Smith, Healthy Androscoggin VetCorps (207)-795-2545 or smithal1@cmhc.org

Question Title

* 1. Please provide the following information.

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address:

Phone Number:

Question Title

* 2. Are you interested in community volunteer opportunities? If so, please check all groups that you may want to work with.

Veterans

Children and Youth

Persons in Recovery

Military/Veteran Families

Adults

Gold Star Families

Active Duty

Seniors

Other

Question Title

* 3. Please check off all volunteer activities that are of interest to you.

Mentoring Youth

Community Clean-Ups

Fundraising

Repair Services

Gardening

Computer Training

Food Shopper

Food Drive

Chaperoning

Tutoring Youth

Neighborhood Watch

Workshop Presenter

Visiting the Sick

Bilingual Interpretation

Walking Pets

Personal Groomer

Toy Drive

Read to Children

Tutoring Adults

Support Groups

Civic Engagement

Transport for Disabled

Food Bank Help

Appointment Companion

Clothes Drive

Charity Race

Sports Coach

Other Interests (please specify)

Healthy Androscoggin VetCorps
Volunteer Survey

Volunteer Survey

Question Title

* 1. Please provide the following information.

Question Title

* 2. Are you interested in community volunteer opportunities? If so, please check all groups that you may want to work with.

Question Title

* 3. Please check off all volunteer activities that are of interest to you.

Question Title

* 4. Days of the week available:

Question Title

* 5. Best time to reach you: