Outreach Volunteer Survey

Please take a moment to fill out and submit the following survey so that we may get to know you, and match your desires, abilities, and commitement to one of the benevolences that so desparately needs your support.

 

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Work Phone
E-mail

Select any of the following benevolences that you would be interesting in helping:

Aid for Friends
Bethana
Contact
IHDC
Pickering Manor
Red Corss Shelter
VITA
Kirkwood Camp

Please fill in any additional skills, abilities, interests. If there is any other benevolence supporte by NPC that you would like to contribute to, please add it here.  Or use this space to ask questions, or comment on the web page, outreach mission, or any other comments.  We look forward to hearing from you!