Ice Bucket Challenge Progress


Chicago Chapter Volunteer Form


Are you interested in a volunteer opportunity?

Please complete this online interest form and we will contact you shortly.

  Please provide your preferred contact information.

If you have previously registered, please to prepopulate your information.

















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


What's this?




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



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

Question - Not Required - Indicate which areas interest you:

Question - Not Required - If you're interested in volunteering for special events and fundraising opportunities, please select what types of events you'd like to be contacted about:


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

  How often are you interested in volunteering?
(Select one of the available choices or enter a different value.)

Question - Not Required - Choose your preferred day(s):


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


   Please leave this field empty