Volunteer Sign-Up Form

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Welcome! We invite you to be a part of bringing a pro-life comprehensive women's health clinic to Stamford. We’d love to know how you can share your time and talents.

First Name *

Last Name *

Parish *

City *

Email *

Phone *

I am interested in volunteering or helping with the following (Check all boxes that apply)

Center Marketing / Promotion

Events & Event Planning

Design / Digital Media / Website

Connecting to Donors / Fundraising Assistance / Real Estate

Connecting to or Recruiting Medical Staff

Business Management / Advising of Clinic (Finance, Operations, etc.)

Medical Insurance / Medical Biling

Center Administration (Practice Management, Administrative Support, etc.)

Emotional Services Support Staff Volunteer (Pregnancy resource center, On-Site Childcare Provider, Friendship Counseling, Bible Study Organizer, Facilitator of Spiritual Activities)

CenterMedical Staff (Nurse, Doctor)

Center Fertility Awareness Staff (Counselor, NFP Coach, FEMM Trainer, Other Trainer)

Bi-Lingual / Language Support for Non-English Speakers

Other:

Is there someone in your network with whom we should connect? Please add the person's contact details here as well as how you think this person can help, and we will be happy to reach out and share more about our project.

If you are interested in inviting the Luminous team to speak at/promote this initiative at your parish, charitable organization or interest group, please list the name of your organization.

Would you like to be contacted to donate to this project?

Anything else we should know about how you can help?

Submit

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