Would you like to help improve the lives of those affected by Spina Bifida and help us in our efforts to prevent this complex disease? Please fill out the volunteer application below to join our Spina Bifida Texas volunteer family and start making a difference!

 

VOLUNTEER APPLICATION

Personal Information

First Name*

Last Name*

Date of Birth ex. 01/01/2000*

Gender

MALE FEMALE

Mailing Address*

City, ST Zip*

Daytime Telephone*

Cell Phone

EMAIL ADDRESS*

EDUCATION

HIGH SCHOOL COLLEGE OTHER

Volunteer/Employment Experience

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Length of Service

Supervisor

Supervisor Telephone

Duties

Company/Organization

Check all days and times available to volunteer

Mon-Fri Days
Mon-Fri Evenings
Sat-Sun Days
Sat-Sun Evenings

Areas of Interest-Check all that apply

Family Activities
Assistance in Office
Fundraising-Stroll
Fundraising-Golf Tournament
Fundraising-Gala
Folic Acid Awareness-Health Fairs
Marketing/Awareness
Translation-Eng-Span

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