First Name

 

Last Name

 

Address 1

 

Address 2

 

City

 

State

 

Zip

 

Home Phone

 

Work Phone

 

What is your preference for contact? Choose Option phone e-mail

 

E-mail

 

Please indicate your interest (choose all that apply):

I'd like to volunteer at summer camp 2010 (counselor program coordinator psych-social help)
I’d like to volunteer with fundraising (Students for One Heartland Party For Our Cause)
I’d like to volunteer with projects at the One Heartland Center in Willow River MN (gardening housekeeping kitchen staff)
I’d like to volunteer my time helping out in one of the offices in Minneapolis or Milwaukee (administrative work)

 

How did you hear about One Heartland?

 

Why would you like to volunteer at One Heartland?