Volunteer Interest Form
Welcome and thank you in advance for your help in making medical aid in dying a legal option in Arizona!
Please complete the information requested below to help us understand where you are located and what volunteer activities you are most interested in. You will be contacted once responses have been collected.
If located in Arizona, which city do you live closest to?
None of these
Which Legislative District (LD) are You In? Refer to
We want to be respectful of the time you can commit. Please indicate how much time you can initially devote to volunteering
up to 1 hour a month
up to 4 hours a month
up to 10 hours a month
More than 10 hours a month
Please check the area(s) below that best match your skills and areas of interest. You will be contacted as soon as possible to discuss specific volunteer opportunities.
Public Education and Events
Advocacy: Interfacing with Local and State Government
Sharing the End-of-Life Story of You or a Loved One
Training, Organizing or Managing of Other Volunteers
Communications (writing, newsletter editing, media relations)
Engagement with Physicians and Other Medical Professionals
I cannot volunteer, but please keep me informed
Everyone's contribution is important. We may have some specific needs in the areas below, so please indicate if you have experience you can share
PR / Press
Web site design or Social Media
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