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Volunteer and/or Internship Form

*denotes required field

Are you over the age of 18? *
Are you interested in:

B. PREVIOUS VOLUNTEER EXPERIENCE

C. REFERENCES

D. INTERNSHIP/COMMUNITY SERVICE INFORMATION

Student Status
Are you doing your internship for school credit or to meet class requirements?

E. AREA(S) OF INTEREST

Please indicate the type(s) of volunteer opportunities which interest you:

F. SCHEDULING

When are you available? *
During which time frames are you typically available? *

PLEASE NOTE: Most Education, Advocacy, and Fundraising events require evening or weekend hours.

G. OTHER INFORMATION

Would you like to join our mailing list?
Would you like to receive information from PPGMR’s Development Department regarding special events and benefits? *
Would you be interested in getting involved in PPGMR advocacy work by joining a Community Action Team?