Volunteer Inquiry
100%
Questions marked with an * are required Exit Survey
 
 
Thank you for your interest in volunteering at Columbia Lighthouse for the Blind. Please provide the following information and we will be in contact with you shortly.
 
 
Contact Information
 
 
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Phone (the best number to reach you) : 
Email Address : 
 
 
 
* What is your date of birth?
MonthDayYear
  
 
 
 
* What is your date of birth?
MonthDayYear
  
 
 
Your Interests
 
 
* Please select the area(s) in which you would like to volunteer with Columbia Lighthouse for the Blind.
 
Assisting clients one-on-one with daily activities (as a reader, shopping companion, leading support groups, etc.)
 
Assisting with special events (summer camps, fundraising events, etc.)
 
Assisting in the office (special projects as they come up)
 
Other (please specify)

 
 
Is there anything else you would like to share with us?