Gilda's Club Grand Rapids

Volunteer Interest Form for Lowell only

You may click here to download a form to mail in or fill out the form below.

Name * First Last Suffix
Address *
Street Address Address Line 2 City State Postal / Zip Code
Email *
Phone Number * (###-###-####) work phone - optional
Employer (if any)
Occupation (If retired, please share your field/skill:
Emergency Contact, relation to you, phone number
Please share any limitations, physical or otherwise, that we should know about so that we can make your volunteer experience a good one:
Do you wish to receive our volunteer newsletter "Core Connection" by: Email Mail Neither
Optional
Church
Ethnicity
Please share your cancer connection:
Date of Birth
(##-##-####)

Adult Program	Child/Teen Program	Clubhouse-Indoors	Clubhouse-Outdoors
Cancer Mentor Lecturer Workshop Leader	Child Care Assistant Workshop Leader Youth Cancer Program Youth Grief Program	Flower Arrangement Organize Pantry Painting Purge Refrigerators	Host a Work Day Sign me up for the Garden Club Garden/Grounds Parking Attendent

Events	General Help	Social Activities	Other Ways to Help
Event Setup/Tear Down Fundango and/or Cody's Dog Wash Planning Committee General Event Help Host a Clubhouse or a Noogieland Shower Information Booth	Desk Receptionist Errand Running Mailings Office Help Phone Calls Have truck for deliveries Videography/Photography	Desserts Family Supper Nights Host/Hostess Party Planning Pick Up Meals Talk with your Mouth Full Vegetable or Fruit Tray	Be a Lead Volunteer Talk and Tour Send me updated Wish Lists

Please indicate the times you are available to volunteer:
Mon Tues Wed Thurs Fri Sat Sun