SPOKANE HELPERS NETWORK
Network Member Registration Form
Date
*
-
Month
-
Day
Year
Date
First Name
*
Last Name
*
Spouse / Partner's name (optional)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Gender
*
Female
Male
Other
Date of birth
*
-
Month
-
Day
Year
Date
How did you first hear of Spokane Helpers Network?
*
Please Select
Another nonprofit
Event
Facebook
Instagram
Nextdoor
Print media
Word of mouth
Other
In what ways would you like to serve?
*
Make financial donations
Make in-kind donations
Volunteer my time
In what specific ways would you like to help? (Check all that apply)
*
Assemble meal / hygiene kits for distribution
Help with fundraising
Perform administrative tasks
Recruit and orient new members
Run errands when needed
Post to social media
Shop
Are you interested in being a regular or substitute delivery driver?
*
Please Select
Yes
No
How many hours do you have to donate each week?
*
Please Select
0 hours
1 - 2 hours per week
3 - 4 hours per week
5 - 6 hours per week
7 - 8 hours per week
9 - 10 hours per week
More than 10 hours per week
At what time(s) are you generally available to help? Select all that apply.
*
Monday through Friday 9-5
Monday through Friday evenings
Weekends
What skills, experiences and talents do you bring to the network? (Don't be modest)
*
Submit
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