Name:
Address1:
Address2:
City:
State:
Zip:
Phone #:
E-mail:
I am interested in volunteering with People Incorporated because:
I am available for volunteering at the following times:
My talents/skills:
How did you find out about People Incorporated?
Arts/crafts assistant
Clerical, data entry
Driver
Group facilitator
Handy person
Host for special events
Medical records clerk
Mentor
Office assistant
Phone buddy
Receptionist
Recreational assistant
Seamstress or sewing teacher
Special events team member
Other: