LIV Annual Membership Registration & Invoice
(Fiscal Year 08.01 to 07.31)

Your completed form and payment need to be turned in by October 1 so that you will not have a lapse in membership benefits.

Please make the check out to Leaders in Volunteerism or pay online through LIV’s Pay Pal.

Today's Date:
MM
/
DD
/
YYYY
Type of Membership *
Payment Method *
Agency/Organization *
Your answer
Street/PO Address *
Your answer
City *
Your answer
Zip *
Your answer
Website *
Your answer
Information about Organization's Volunteer Engagement
# of Volunteers Annually *
If you don't know exact number, a guestimate is fine.
Your answer
# of Hours Annually *
If you don't know exact number, a guestimate is fine.
Your answer
Classification of Volunteers Used (select all) *
Required
General Comments
Your answer
Individual Contacts
Please share the contact information for all individuals that are covered under this membership. If you need to add additional contacts, please LeadersInVolunteerism@gmail.com.
Name (1) *
Your answer
Title (1) *
Your answer
Length in Position (1) *
Your answer
Length of Experience in Vol. Mgmt./Coord. in years (1) *
Your answer
% of Position allocated to Volunteer Engagement (1) *
Your answer
Phone (1) *
Your answer
Email (1) *
Your answer
Are you interested in LIV's Volunteer Engagement Mentor Program? (1)
Topics you could present (1)
Your answer
Topics you would be interested in (1)
Your answer
Do you have additional contacts to enter? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.