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Volunteer

" Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has." -- Margaret Mead

PPWP is always looking for passionate and dedicated people to come and volunteer with us! Whether you're interested in assisting patients in our health centers, want to phone bank during any number of our advocacy campaigns, or would like to spend some time helping our administrative staff tackle their work load, we have a position for you!

Simply complete the form below and our staff will contact you.

Salutation:

Mr. Mrs. Ms. Dr. Other

First Name*:

Last Name*:

Home Phone*:

Address*:

Apt./Ste.:

City*:

State/Prov.*:

Postal Code*:

Email*:

Employer:

Position Title:

Work Address:

Work Phone:

In Case of Emergency, Notify:

Name:

Relationship:

Phone:

Volunteer Experience: Position, duties, dates:

Education:

Areas or Interest/Degrees:

Are you over 18:

Yes No

Volunteering for school credit:

Yes No

Why do you want to volunteer at PPWP?:

Relevant Information:

How do you envision helping PPWP?:

How did you hear about us?:

Time(s) Available:

Preference for specific volunteer activity:

  Clinic Escort
  Outreach Aide
  Development Aide
  General Office Aide

Would you accept another activity for which you would recieve training?

Other Activity:

Yes No

How long of a commitment are you willing to make?:

Professional References (enter 2 volunteer, work or school references)

Name*:

Relationship*:

Telephone*:

Name*:

Relationship*:

Telephone*:

  By checking this box, I agree that I am aware that PPWP provides abortion services and that participating in the provision of those services are essential functions of many of our volunteer positions:

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