Rockin' 4 Relief 2017 Volunteer Application- Cape Girardeau
***PLEASE READ CAREFULLY!***

Thank you for your interest in our Rockin' 4 Relief 2017 event in Cape Girardeau, MO! Our event is being held on SATURDAY, OCTOBER 21ST, 2017.

Rockin' 4 Relief is a nonprofit organization that raises money for families of police officers, firefighters, EMTs, and paramedics who were killed in the line of duty. Twice a year, we host a "rock-a-thon" where we send volunteers to different locations around the city to rock in rocking chairs for 10 hours straight and collect money from the customers who walk by. Since 2009, we've raised nearly $133,000 including a $13,000 donation from Ms. Oprah Winfrey.

Prior to the event, we will have THREE preparation meetings for our volunteers that are CRUCIAL to the success of our event. The dates and times for these meetings are Monday, September 25th, Thursday, October 12th, and Wednesday, October 18th at the Osage Center in Cape Girardeau from 7-8pm.

If you are volunteering as a large group (10+), we can work something out where I can come to you and give you all of the information separately so we do not need every person to show up to every single meeting.

IF you are able to attend all 3 meetings and the entire day on SATURDAY, OCTOBER 21st, 2017, then we can reward you with 20 community service hours.

If you cannot attend a meeting, just let me know ahead of time and I will send you the information you missed via e-mail.

Important notices:
*Both teenagers and adults are needed! Each location requires someone 18 years or older at every location at all times.
*Only one volunteer per location will actually be rocking in the rocking chair, the rest will be passing out fliers and talking to people
*All information submitted on this form will be kept private.
*If you cannot attend weeknight meetings, please still feel free to sign up and we can work something out but PLEASE try your best to attend so everyone is on the same page

With the hard summer for law enforcement this year, we hope this will be one of our BEST events yet.

If you have any comments, questions, or concerns, feel free to reach out to Jennifer Rubin at rockin4relief@hotmail.com.

THANK YOU for your interest in Rockin' 4 Relief and we are looking forward to having you!

First and Last Name *
Your answer
Gender *
Age *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Street Address
Only needed if you want a community service letter after the event
Your answer
Address Line 2
Only needed if you want a community service letter after the event
Your answer
City
Only needed if you want a community service letter after the event
Your answer
State
Only needed if you want a community service letter after the event
Your answer
Zip Code
Only needed if you want a community service letter after the event
Your answer
Desired T-Shirt Size (not guaranteed) *
Have you volunteered for Rockin' 4 Relief in the past? *
Student Volunteers: School *
If you are not in middle school, high school, or college, put N/A.
Your answer
Student Volunteers: Year in School *
Student Volunteers: Is your GPA over 2.0? *
Adult Volunteers: Occupation *
If you are a student, mark N/A
ALL Volunteers: Can you stay all day on October 21st? *
If you said no to the question above, what time can you START? (if this changes after you submit the form, please notify us ASAP.)
Time
:
If you said no to the question above, what time do you need to leave? (if this changes after you submit the form, please notify us ASAP.)
Time
:
Do you have a rocking chair we can borrow on October 21st? *
Do you have transportation for a rocking chair to and from your event? *
List the names of people, or the organization, you want to be at the same location with. If you write a person's name, please write their first and last name. *
Your answer
Cities/Towns/Jurisdiction you can go to: The more flexible you are, the better chance you'll have of staying with your friends. Check ALL that apply. *
Required
I give Rockin' 4 Relief permission to use my name in any social media, press release, and/or website functions. *
I give Rockin' 4 Relief permission to use my photo and/or video in any social media, press release, and/or website functions. *
How did you hear about Rockin' 4 Relief?
Your answer
Do you have any suggestions on locations we can rock at, businesses we could ask for sponsorship, or groups we could ask to volunteer? Any suggestions are greatly appreciated!
Your answer
Do you have any comments, questions, concerns, or requests for us?
Your answer
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