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HLWF Volunteer Interest Form
Thank you for your interest in volunteering with Hugh Lane Wellness Foundation. We are proud to serve the LGBTQ+ and HIV communities across Western PA.
Volunteer Opportunities: We are primarily looking for drivers to help with contactless grocery deliveries to LGBTQ+ people who have been negatively impacted by Covid-19.
Non-drivers - We may have limited opportunities for volunteers to help pack grocery boxes and hygiene & safer sex kits.
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* Indicates required question
Email
*
Your email
What's your First Name?
*
Your answer
What's your Last Name?
Your answer
What are your pronouns?
Choose
she/her/hers
they/them/theirs
he/him/his
xe/xem/xyrs
Please use my name only
Another pronoun not listed
What is the best way to contact you?
*
if phone, please give your number in XXX-XXX-XXXX format, and specify call or text preferences
Your answer
What times are you generally available to volunteer?
*
Wednesday 12pm-5pm
Thursday 12pm-5pm
Thursday 6pm-8pm
Friday 9am-12pm
Friday 12pm-3pm
Weekends
Required
Frequency: How often are you able to help volunteer?
*
Once a week
Twice per month
Once a month
Just one time
Neighborhood/Directional Preference?
There's no guarantee that we will have deliveries in the neighborhood selected, but we make the routes with volunteer preference in mind
Central Pittsburgh (Oakland, Hazelwood, Homewood, East Liberty, Bloomfield, Millvale)
North (Northside, Perry, Bellevue, Troy Hill, Millvale, Avalon, Ross Township)
West (McKees Rocks, Crafton, Carnegie, Bridgeville)
South Hill Tops (Mt. Washington, Mt. Oliver, Allentown, Southside)
South Suburbs (Brentwood, Beechview, Carrick, Dormont, Mt. Lebo)
East (Friendship, Hill District, East Liberty, Squirrel Hill, Wilkinsburg)
Eastern Suburbs (Forest Hills, Homestead, Penn Hills, Pitcairn, McKeesport)
Allegheny River Suburbs (Natrona Heights, Tarentum, New Kensington)
No preference
Anything else you wish to share?
Your answer
Would you like to be added to our mailing list to learn about upcoming community events and volunteer opportunities?
*
Mailing list recipients are the first to learn of giveaways and limited capacity-events
Yes, please add me to the mailing list
No, please do not contact me outside of volunteering.
Would you like to receive reimbursement for your mileage?
*
Creating checks that are not cashed causes accounting problems. Please cash your reimbursement checks if you opt into receiving them.
Yes, I would like to be reimbursed
No, I DO NOT want to be reimbursed for my mileage
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