NEPS - Volunteer Application

Thank you for your interest in volunteering with
Northeast Placement Services (NEPS)!

Please complete the details below - our Volunteer Coordinator will contact you for next steps.

Full Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email Address*

example@example.com

Are you 18 years of age or older?

YesNo

Do you have a valid Driver's License?

YesNo

Please select what type of volunteer you are;*

IndividualBusinessGroup/OrganizationFamily

Please select each/all volunteer opportunities you are interested in;*

Advocate/Administrative Support: champion specific issues related to those with intellectual disabilitiesProfessional Support: offer your professional expertise to those receiving servicesDirect Support: work one-on-one with those receiving servicesCommunity/Fundraising Support: something something

Submission Date