Survey - Evergreen Chapter Volunteer Interest Form - 2024 - The ALS Association DC/MD/VA Chapter

1.

Preferred Contact Information:

If you have previously registered, please to prepopulate your information.

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Employer:

Occupation:

Gender:

If you respond and have not already registered, you will receive periodic updates and communications from ALS Association - DC / MD / VA Chapter.

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*2.

Question - Required - What is your age group?

Adult (over 18)

Young Adult (13-18)

Child (0-12)

OFFICE Volunteering
This job is available year-round during regular business hours. When preparing for events, we need extra hands to help stuff envelopes, assemble materials, complete data entry, etc.

3.

Question - Not Required - Clerical

	Paperwork
	Computer *Requires basic computer skills

EVENT Volunteering
Our volunteers are an upbeat bunch! All ages are welcome. Students, fulfill your community service requirement with us.
Event Committee (Requires some management/leadership skills) Event Staff (Registration, greeting, rest stops, photography, etc.) *Event Labor (Set-up and tear-down, traffic control, etc.)

4.

Question - Not Required - Basic Event Duties:

	Event Committee
	Event Staff
	Event Labor

5.

Question - Not Required - Indicate any special skills/interests you may have that you'd like to share with us:

	Fundraising
	Photography/Videography
	Audio-Visual/DJ
	Construction/Handywork
	Website Maintenance

6.

Question - Not Required - Indicate your special skill or area of interest not in the list above:

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

7.

Question - Not Required - For events, indicate the general region or cities where you'd like to Volunteer:

	Western Washington
	Central Washington
	Eastern Washington
	Northern Idaho
	Southern Idaho
	Western Montana
	Eastern Montana
	Alaska

*8.

Question - Required - What is your connection, if any, with ALS?

	Adult child
	Caregiver
	Ex-Spouse
	Fiance
	Friend
	Healthcare Provider
	Interested Party
	Parent
	Patient
	Physician
	Relative
	Sibling
	Significant Other
	Spouse
	Student
	Surviving Spouse
	NA

Indicate the events you're interested in:

9.

Question - Not Required - Spring Gala

Seattle

10.

Question - Not Required - Ride to Defeat ALS

Cle Elum, Washington

11.

Question - Not Required - Walk to Defeat ALS

	Anchorage, AK
	Boise, ID
	Missoula, MT
	Seattle, WA
	Olympia, WA
	Tri-Cities, WA

12.

Question - Not Required - ALS Awareness or Educational Events - Various regional locations:

	Trade Show
	Health Fair
	Major & Minor League Baseball ALS game