Volunteer Interest Form

Volunteer Interest Form

Thank you for your interest in being a part of the NAMI York Adams (NAMIYA) team as a volunteer. Volunteers are such an important part of our organization. Please complete the registration form below a member of our team will reach out to talk with you in more detail of our volunteering opportunities.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email address
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
Emergency Contact phone number
What Days are you available to volunteer?

MondayTuesdayWednesdayThursdayFridaySaturday
What times are you available to volunteer?

MorningAfternoonEvenings
Have you attended any NAMIYA programs or services? If so, which ones?
NAMI requires all volunteers to complete a child abuse clearance and State Police Clearance. (There is no cost to complete these clearances as a volunteer) Do you currently have these clearances? If not, Are you willing to complete these to volunteer with us?
Are there any areas in particular that you are interested in volunteering?

Office workBecoming a facilitator with our programmingVolunteer at fundraisersAdvocacy work, sharing my story with others
How Did you hear about NAMI York Adams?

Through ServicesFacebookWebsiteSchoolWorkOther
Are you over 18?

YesNo, but I am 16 or olderNo, My parent/guardian is aware of my interest in volunteering with NAMIYANo, I am in school and need to fulfill a school volunteering requirement
Is there anything else you would like us to know?
Should be Empty: