WXXI Volunteer Registration Form

Name:
Address:
City, State ZIP:
Home Phone # :
Work Phone # :
E-Mail Address:
   
Availability: Morning Afternoon Evening Weekends

Emergency Contact:

Contact Name:

Contact's Phone Number:

Do you have any physical challenges that you would like us to be sensitive to when matching you up with volunteer opportunities?

Volunteer Preferences: Check all activites you would like to be involved in.
Auction Special Interests


Pre Auction
Auction Week
Post Auction
Script Writing
Go-Getting
Warehouse

Special Events

Summer Festivals
Family Events

"Mega" Events
Receptions


Docent for Station Tours
Reachout Radio

Computers
Mailings

Membership Drives
Public Information

Other

 

Volunteer Experience & Skills
:


Special Interests
:


Comments
: