Volunteer Interest Form
Wey of Life Peer Recovery Center
Name
*
First Name
Last Name
Gender
*
Male
Female
Other
Date of Birth
*
mm/dd/yyyy
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip Code
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you over 18?
*
Yes
No
Do you identify as in recovery from substance use disorder or impacted by substance use disorder?
Please Select
Starting/Seeking Recovery from Substance Use Disorder
In Recovery from Substance Use Disorder
Family member of someone in recovery from SUD
Ally/Friend/Supportive Community Member
Volunteer Opportunities: Select what interests you
General Center Support
Kitchen/Cooking
Outreach
Facilitating/Starting a group or activity
Participating on Committees (Social Activity Committee, Outreach Committee, etc)
Event Planning/Support
Special Projects
Do you have a special skill you are eager to share with Wey of Life PRC?
Example: accounting, grant writing, resume writing, fundraising, newsletter writing, etc.
Let us know what days and times are best for you to volunteer?
Is your preference to be have regularly scheduled volunteer shifts or would you like to be contacted as needed?
Please Select
Regularly scheduled
Contacted as needed
Both/No preference
What size T Shirt are you?
Submit
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