Small Steps Volunteer Intake Form - Small Steps Nurturing Center

Name *

First

Last

Date of Birth *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Cell Phone

How did you hear about Small Steps?

If any, please list the school, church, company, or organization you are volunteering with:

Please list your church membership, if any:

How are you interested in volunteering a Small Steps: *

Other:

Preferred Volunteer Location: *

Describe your dream volunteer opportunity – if you could have any volunteer role, what would it be and why? How would that position utilize your skills and passions?

Checkboxes

Please add me to the mailing list for Small Steps’ newsletter.
Please contact me about making a presentation to the school, church, company, or organization listed above.

Signature *

Date *