PCASC Volunteer Interest Form
First Name:
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Last Name:
*
E-mail:
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Phone:
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Address:
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City:
*
State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip code:
*
What is the best way to reach you?
Email
Phone
What issues are you interested in working on?
Agriculture/Land rights
Art
Globalization/Trade Policies
Immigrants Rights
Labor/Worker's Rights
Media activism
Women/Gender
Youth
Environmental Justice
Other
What experience/skills would you like to contribute to PCASC?
Accounting
Advertising/Media
Databasing
Grantwriting
Graphic Design/Layout
Office Work
Translating
Web Design
Other
What experience/skills would you like to learn from PCASC?
Accounting
Advertising/Media
Databasing
Grantwriting
Graphic Design/Layout
Office Work
Translating
Web Design
Other
How many hours a month do you or would you like to volunteer for PCASC
1-5
5-10
10-20
More than 20
When are you available to volunteer?
Monday Daytime
Monday Evening
Tuesday Daytime
Tuesday Evening
Wednesday Daytime
Wednesday Evening
Thursday Daytime
Thursday Evening
Friday Daytime
Friday Evening
Saturday Daytime
Saturday Evening
Sunday Daytime
Sunday Evening
Please check off which Committees you are involved with/interested in getting involved with
Bolivarian Media Exchange
El Salvador/CISPES Committee
Hands Off Latin America (HOLA)
Safe Communities [Immigrant Rights Campaign]
I don't know/I want to be a general volunteer
Would you be interested in attending a new volunteer orientation?
*
Yes
No
Submit Form
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