Name:
Address:
City:
State:
ZipCode:
Day Phone:
Home Phone:
E-mail Address:
Please check any and all activities you are interested in:
OFFICE WORK (Mailings, General Office Work, Library, etc.)
OUTREACH (Health Fairs, Street Fairs, Events, etc.)
FUNDRAISING (Broadway Show, Golf Tournament, Run/Walk, etc.)
Would you like to volunteer on a weekly basis or on a project basis:
Weekly
Project Basis
Please indicate what time of the day you can volunteer:
Mornings
Afternoons
Evenings
Please indicate any special skill(s) that you can offer to weSPARK:
Zip:
e-mail:
weSPARK is going Green to cut down on unnecessary mailings. Please check this box if wish to received a mailed copy of the newsletter, otherwise you will receive the newsletter via email.