The Life Raft Group Volunteer Application

The Life Raft Group Volunteer Application
Thank you for your interest in giving your time and energy to The Life Raft Group! Please complete the contact form below and hit submit. We will contact you as soon as we receive your completed application. Please email volunteers@liferaftgroup.org if you have any questions.
Full Name

First Name Last Name

Address

E-mail
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
May we call you at work?

Yes No
Cell Phone

Area Code Phone Number
Emergency Contact

First Name Last Name
Emergency Phone

Area Code Phone Number
Current Occupation
Have you done volunteer work before?

Yes No
If yes, please describe.
Why do you wish to volunteer at the Life Raft Group?
Special skills (foreign language, computer software, etc.)
Limitations / restrictions
How did you hear about us?
What type of volunteer work would you like to do?

Advocacy Ambassador Fundraising Social Media Media Patient Support Administration LRG GIST Peer
Availability

Please specify the number of hours you are available per week.
Hours available
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to a volunteer position, I understand that false and misleading information in my application or interview may result in release.
Signature
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