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 Name Last Name
Phone Number *
Please enter a valid phone number.
Email Address *
example@example.com
Are you 18 years of age or older?

Yes No
Do you have a valid Driver's License?

Yes No
Please select what type of volunteer you are; *

Individual Business Group/Organization Family
Please select each/all volunteer opportunities you are interested in; *

Advocate/Administrative Support: champion specific issues related to those with intellectual disabilities Professional Support: offer your professional expertise to those receiving services Direct Support: work one-on-one with those receiving services Community/Fundraising Support: something something
Submission Date

Month Day Year
Should be Empty:

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