Kelly's Grief Center
Volunteer and Undergraduate Internship form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
May we contact you and leave a message at this phone number?
*
Yes
No
Email
*
example@example.com
May we contact you at this email address?
*
Yes
No
Will you be able to attend a brief training and sign a confidentiality form?
*
Yes
No
Days and times you are available to volunteer (please check all that apply)
*
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Saturday
Morning
Afternoon
Areas you are interested in volunteering (please check all that apply):
*
Answer phones
Events - volunteer
Fundraisers - collect donations
Deliver materials
Assemble folders
I am:
*
Under age 18
Over age 18
Please write a short response of why you would like to volunteer at Kelly's Grief Center
*
Is this for college credit
Please Select
Yes
No
We look forward to having you be a part of the Kelly's Grief Center Volunteer Team!
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