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National Multiple Sclerosis Society

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National Home > Chapters > Greater Delaware Valley > PAE Volunteer

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Greater Delaware Valley
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PAE Volunteer

Application for Volunteer Service

Please enter your personal information:

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State/Province Required	ZIP/Postal Code Required

Country: Required

Phone Number: Required

Employer:

Occupation:

Yes, I would like to receive important email updates - including event announcements - from the National MS Society.

Yes, I would like to receive important postal mail updates - including event announcements - from the National MS Society.

Remember me. What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

*	Username: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Confirm Password: Required

*2.

Question - Required - Are you part of a group (corporate/service) that would be interested in volunteering with us?

Question - Not Required - If yes, please indicate group:

Question - Not Required - If you have volunteered for the National Multiple Sclerosis Society before, please list all volunteer positions held.

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

*5.

Question - Required - How did you hear about the National MS Society?

*6.

Question - Required - Why do you want to volunteer with the National MS Society?

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

Availability

*7.

Question - Required - I am available... (Please check all that apply):
Please make at least 1 selection from the choices below.

	Weekdays
	Evenings
	Weekends
	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday
	I prefer a fixed schedule
	My schedule is flexible

*8.

Question - Required - I am available to work... (Please check all that apply):
Please make at least 1 selection from the choices below.

	At Philadelphia office
	At Allentown office
	From home

*9.

Question - Required - Approximately how many hours per week are you available to volunteer?

Accommodations

10.

Question - Not Required - It is important to us that we find the best fit for both you and the chapter. Please list any physical limitations you would like us to consider when placing you in an assignment.

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

11.

Question - Not Required - If you have transportation limitations, please describe.

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

Skills/Interests

*12.

Question - Required - What special training or skills do you already have that might relate to volunteer jobs (Please check all that apply):
Please make at least 1 selection from the choices below.

	Administrative/Clerical
	Physician
	Advertising/PR
	Occupational Therapy
	Data Entry
	Physical Therapy
	Entertainment/Musician
	Public Speaking
	Grant Writing
	Receptionist
	Graphic Design
	RN
	Group Facilitating
	Social Work
	HAM Radio Operator
	Teacher
	Internet
	Therapist/Counseling
	Legal
	Volunteer Coordinating
	Librarian
	Commercial Driver's License
	Massage Therapy
	EMT
	Photography
	Personnel Management
	Project Management
	Accounting
	Mail Room/Shipping
	Other

13.

Question - Not Required - Please list any other training or skills you have:

*14.

Question - Required - Please check the types of volunteer activities that interest you. (Please check all that apply):
Please make at least 1 selection from the choices below.

	Administrative/Clerical
	Peer Support
	Planning Teams
	Marketing/Sales
	Data Entry
	Public Speaking
	Event Coordination
	Reception Desk
	Research Online/Offline
	Health Fair Booths
	Speaker's Bureau
	Support Group Leader
	Volunteer Recruitment
	Volunteer Supervisor
	Phone (Thank you calls)
	Accounting
	Mail Room/Shipping
	Special Events (e.g. Walk MS, Bike MS, etc.)

15.

Question - Not Required - Are you comfortable using a computer?

16.

Question - Not Required - If yes, are you familiar with Microsoft Word, Excel and the Internet?

*17.

Question - Required - Comments:

National Multiple Sclerosis Society

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