Survey - 2022 NNE Walk Volunteer Sign-Up - The ALS Association Indiana Chapter

1.

Please enter your contact information below:

*

Name:

First Required	Last Required	Suffix

*

Email: Required

*

Street 1: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Employer:

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

Email Format:

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

*2.

Question - Required - How should we contact you?

Email

Phone

Mail

*3.

Question - Required - What is the best time of day to contact you?

*4.

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

*5.

Question - Required - How would you like to help?

	Walk Committee Volunteer
	Pre-Walk Volunteer
	Walk Day Volunteer

6.

Question - Not Required - Do you have any specialized skills, talents, etc (i.e. photography, entertainment, accounting skills, etc) that you wish for us to utilize?

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

7.

Question - Not Required - If you are interested in serving on one of our Walk Committees, please indicate your area of interest:

	Entertainment
	Event Lead
	Youth Activities
	Food & Beverage
	Volunteer Liaison
	Advocacy
	Unlock ALS
	Social Media
	Media & Promotion
	Corporate Support
	Team Development
	Registration
	Accounting

8.

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

	Registration/ Accounting
	Refreshment/ Food and Beverage Monitor
	Traffic Control
	T-Shirts Distribution
	Advocacy
	Entertainer
	Set-up/Break Down/ Clean-up
	First Aid

9.

Question - Not Required - Will you be bringing any friends or family that would also like to help volunteer? If yes, please list their names, and if possible, t-shirt size.