Survey - Michigan Walk Volunteer - The ALS Association Indiana Chapter

Michigan Walk Volunteer

Welcome! Thank you for taking the time to fill out this survey.

1.

Please enter your contact information below:

*

Name:

Title	First Required	Middle Required	Last Required	Suffix

*

Email: Required

*

Street 1: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

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

2.

Question - Not Required - How should we contact you?

Email

Phone

*3.

Question - Required - At which Walk location would you like to volunteer?

*4.

Question - Required - How would you like to help?
Please make between 1 and 3 selections from the choices below.

	Walk Committee Volunteer
	Pre-Walk Volunteer
	Walk Day Volunteer

5.

Question - Not Required - If you are interested in serving on one of our Walk Committees, please indicate your area of interest:
Please make up to 3 selections from the choices below.

	Corporate Sponsor Committee
	Teams Helping Teams Committee
	Logistics Committee (entertainment, food etc)

6.

Question - Not Required - If you are interested in becoming a Walk Day Volunteer, please indicate your area of interest:

	Set-Up
	Registration/Greeting
	Walk Route Monitors
	T-Shirts
	Advocacy
	Clean-Up

7.

Question - Not Required - How did you hear about our Walk Volunteer opportunities?

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