Survey - Volunteer Interest Form - Davis Phinney Foundation

Volunteer Interest Form

Please enter your contact information:


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
*	Phone Number: Required
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Question - Required - What volunteer opportunities are you interested in? (Select all that apply.)

	Packing collateral and fundraising incentives
	Mailing letters
	In-person event support
	Online research
	Other (describe below)

Question - Not Required - If you selected "other," please describe here:

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

Question - Not Required - Do you have any medical or accessibility needs or restrictions you would like to share?

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

Question - Not Required - Are you comfortable performing the following? (Select all that apply.)

	Standing for 30 minutes
	Walking for 30 minutes
	Lifting 35 pounds

Question - Not Required - Are there any reasonable accommodations that would improve your volunteer experience?

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

Question - Required - Would you like to be contacted about other volunteer opportunities?

Yes

Question - Not Required - Emergency contact's first and last name

Question - Not Required - Emergency contact's phone number

Question - Not Required - Is there any additional information you would like to share?

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