Gilda's Club Twin Cities - Make a Donation

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Help us bring Gilda’s Club to the Twin Cities

Gilda’s Club Twin Cities Volunteer Application

If you are interested in volunteering for Gilda's Club Twin Cities, please fill out the form below:

Gilda’s Club Twin Cities Volunteer Application

Application Date

Name

Date of Birth 19

Address

City State Zip

Home Phone

Cell Phone

Work Phone

Preferred contact: phone OR email

Current Occupation

Employer

Employer Address

City State Zip

List your Skills and Interests
Examples: Office Work/Computers/Arts &Crafts/Photography/Gardening/Landscaping/ Construction/ Working with Children/Fund-raising/Event-planning/Fluency in a Foreign Language

Gilda’s Club Volunteer Activity Preferences:
Potluck suppers
Website design
Thank you gift bags
GildaGram (newsletter)
Historian
Marketing
Outreach
Health Care Events
Research

List any health/physical limitations, including allergies:

Indicate your preferred day(s) and time period(s)

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Availability (preferred time):

Expected Commitment
Short Term (0-3 mos)
Long Term (>3 mos)
Special Project

Emergency Contact Information

Name Relationship

Work Phone Home Phone

Please list two References (not a relative)

Reference #1 Name

Street City, State, Zip

Phone Email

Years known Relationship

Reference #2 Name

Street City, State, Zip

Phone Email

Years known Relationship

If printed, please sign and date our application and return to the address below.

Signature ____________________________________________________

Date ________________________________________________________

Parent/Guardian Signature (if under 18 years of age)

____________________________________________

Please complete & return to:
Carrie Puterbaugh, Volunteer Coordinator
5145 Xerxes Ave S
Minneapolis, MN 55410