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Personal Information
Please fill out the following information about yourself:
Today's Date:
First Name:
Last Name:
Date of Birth:
Street Address:
City:
State:
ZIP:
Home Phone:
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Work Phone:
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E-mail Address:
Occupation:
I am interested in the following volunteer opportunities:
01) Please describe any personal experience with cancer:
02)
Helping with clerical activities such as typing, stuffing envelopes, answering phones, etc.
03)
Helping with special events (fundraisers), in-house and elsewhere, and social events such as potlucks, Noogiefest, etc.
04a.)
Presenting a class, workshop, lecture, or activity (yoga, nutrition, music, art etc.)
04b.) Topic / Description:
05)
Participating in or facilitating New Member Meetings (One-time introductory meetings for those interested in becoming members of Gilda’s Club where you would share your story).
NOTE: Must have personal experience with cancer either as a survivor or family member of a person with cancer. Must attend a specific training session.
06)
Doing intakes (Customized Membership Plan): Initial one-on-one sessions with new members. Note: Must be a licensed professional, attend a training session and volunteer supervision.
Please send resume to resume@gildasclubnashville.org
07)
Facilitating support groups. Note: Must be a licensed professional, attend bi-monthly supervision and commit to facilitating for a minimum of 16 weeks.
Please send resume to resume@gildasclubnashville.org
08)
Participating in community outreach activities such as distributing Gilda’s Club materials to other groups, and/or speaking to groups on behalf of Gilda’s Club.
09)
Providing interactive childcare during groups and activities. Criminal background check, training and supervision required.
10)
Performing minor repairs around the clubhouse on a monthly basis.
11)
Assisting with various kinds of yard work around the clubhouse.
12) Volunteering in the following additional ways:
13) Special skills, talents or things you should know about me:
14) Hours / times I am available to volunteer are:
15) Any additional comments.
Legal Stuff:
When driving for Gilda's Club Nashville, your personal auto insurance is considered primary. In case of an accident, Gilda's Club Nashville must see your proof of insurance.
By completing this form, you grant to Gilda's Club Nashville the right, license and privilege to use your name, likeness, photograph, voice and biography in such a manner as GCN deems appropriate in order to promote, advertise and publicize GCN and its charitable activities. This also applies to my child(ren) or other minors that may be under my care while at GCN.
After submitting, you will receive confirmation!
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