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I want to volunteer with NAMI Long Beach!
Volunteer Information Form
First Name *
Your answer
Last Name
Your answer
Email *
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Street Address & City *
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Zip Code *
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Cell Phone number
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Home or Other Phone number
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Please check all that apply *
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I am a member of NAMI Long Beach *
Occupation *
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I would like to volunteer in the following areas. Training will be provided, as needed. (check all that may apply): *
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I am available at the following times (check all that apply)
9am - 12 noon
1-5pm
6-9pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please list any specific skills or experience you may have (check all that apply)
Please list any activities you would like to do or if you would like to gain experience in. (check all that apply)
Language skills
Fluent
Proficient
Conversational
English
Spanish
Vietnamese
Khmer
Tagalog
Lao
Other
How did you hear about NAMI Long Beach? *
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Thank you for your support! We will follow up with you shortly. In the meantime, please visit us on our Facebook page or website www.namilongbeach.org
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