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Support COLAGE through a membership:
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Name:
 
Email:
 
Address:
 
City:
 
State:
 
Zip:
 
Home phone:
 
Cell or work phone:
 
   
Type of volunteer work I'm interested in:
  Fundraising
  Being on a Committee
  Returning Phone Calls
  Tabling at Events
  Helping at Events
  Planning Events
  Data Entry
  Graphic Design
  Working on the Website
  Facilitating Youth Groups
  Other

Frequency I'm interested in volunteering:
  Daily
  Weekly
  Monthly
  Occasionally

Number of hours I'm interested in volunteering per day/week/month:
  1
  2
  3
  4
  5
  6
  7
  8
  9
  10
  more

Dates Available:
Start Date:
 
End Date:
 

Add'l Comments on Availability:
 

Some of my previous experience is (If interested in working with youth, please include experience with youth):
 

I want to get involved with COLAGE because:
 

Other ways I'd like to work with COLAGE are:
 

References (If interested in working with youth, please include two references who have supervised your previous work with youth):

Name:
 
Phone:
 
Relationship:
 

Name:
 
Phone:
 
Relationship:
 
     
   

COLAGE - 415.861.KIDS - 3543 18th Street #1, San Francisco, CA 94110 - colage-at-colage-dot-org