CHC/ReClaim Volunteer Inquiry Form
Please take a quick couple of minutes to fill out the following questions to let us know you are interested in volunteering with our organization. We will follow up with you within 24-48 hours to further discuss your volunteer interests and background. If you have a printer please also fill out the full Volunteer Application PDF ( and either mail it in or drop it by ReClaim Madison at 798 Walnut Creek Rd. 
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Email *
Preferred Name *
Preferred Name and Pronouns (e.g. Madison, she/her, he/him, they/them, etc.)
Address *
Phone *
Preferred Contact Method *
Which programs would you like to volunteer with (Check all that apply)? *
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