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Volunteer Application - National Capital Chapter

 

Volunteer Logo

Please complete if you are looking for a regular volunteer opportunity with the Chapter. If you wish to volunteer for an event like our walk or our bike, please register for that event directly at:

 If you would prefer to print and mail the application, click here.

 

Personal & Contact Information

  Primary Contact Information:

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Name:

 

 

 

 

 

       

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City/State/ZIP:

 

    

 

 

 

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Date of Birth:

 

 

 

What's this?

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Question - Required - Preferred way to contact you about the National MS Society:



 


  How did you hear about the MS Society?
(Select one of the available choices or enter a different value.)



 

Emergency Contact Information

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

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Interests & Availability

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Question - Required - Please check which type(s) of volunteer work interest you.
Please make between 1 and 16 selections from the choices below.

 

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

 

Availability

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Question - Required - Please indicate your availability for volunteering with the National MS Society
Please make between 1 and 5 selections from the choices below.

 

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

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

 

Skills, Certification, & Licensing

 
Question - Not Required - Please check any skills you wish to share.
Please make up to 50 selections from the choices below.

 

 

References

Please provide two references.

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Employment Information

 

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

 


 

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

   


 

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

 


 

In Your Words

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Please read the following carefully, before submiting this application.

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