Survey - Volunteer Information Survey - The ALS Association Indiana Chapter

Are you interested in volunteering with The ALS Association Western Pennsylvania Chapter?

Please complete this form and we will contact you shortly. Thank you!

1.

Preferred Contact Information:

*

Name:

First Required	Last Required

*

Email: Required

Street 1:

Street 2:

City/State/ZIP:

City	State	ZIP

*

Phone Number: Required

Employer:

If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association Indiana Chapter.

Yes, I would like to receive postal mail from The ALS Association Indiana Chapter

Keep me logged in. What's this?

2.

Question - Not Required - Why are you interested in volunteering with The Chapter?

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Indicate which areas interest you:
Please make at least 1 selection from the choices below.

	Administrative/clerical work
	Computer-data entry
	Social media/Social Media Ambassador
	Advocacy
	Photography
	Walk Planning Committee
	Walk Kit Assembly/Delivery
	Community Cares Auction Committee
	Event Day Logistics
	Securing In-kind Donations from Businesses
	Professional services (legal, HR, etc.)
	Manual labor
	Other

4.

Question - Not Required - If you indicated other, please describe your interest below:

(Maximum response 255 chars, approx. 5 rows of text)

5.

Question - Not Required - Areas of specialized training, skills, talents (i.e. crafting, planning/organizing, carpentry, photography, heavy lifting)?

(Maximum response 255 chars, approx. 5 rows of text)

6.

How often are you interested in volunteering?

(Select one of the available choices or enter a different value.)
Question - Not Required -

7.

Question - Not Required - What day(s) of the week are you typically available to volunteer?

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday

8.

Question - Not Required - What time of day are you typically available?

	Morning
	Afternoon
	Evening

9.

Question - Not Required - What is your preferred method of contact?

Phone

Email

Text