Liver Awareness Programs Do you believe in the cause of Organ Donation? Do you have some time on your hands to volunteer? Do you want to work and volunteer for the cause of Hepatitis A, B, C , D and E ? Do you feel your skills and knowledge can help us ? We would be happy to have you! 1. Person Information Name Home Address City Postal Code Mobile E-mail 2. Emergency Contact Name Relationship Phone Mobile Work Are you a Media Person Have your own business /Employed Non Government Organization worker House Wife Other Special Training or Skills Employment History Volunteer Experience Please Indicate Your Availability Morning (10 am – 1 pm) Afternoon (1pm- 5 pm) Any other time Weekdays Weekends Any other days How long of a commitment are you prepared to make? 6 months 9 months 1 year On-going How long of a commitment are you prepared to make? 6 months 9 months 1 year On-going What volunteer opportunity are you interested in? clerical school tour guide special events communications adult tour guide public programs computer technology Please indicate the skills and experience you would bring to your volunteer role organizational skills experience with children teaching skills public speaking Microsoft Word Researcher /Proposal Writing Social Media Expert- blogging/web site Art/ Animation /Graphics other What are you reasons for volunteering? for academic credit to learn new skills for social interaction to gain employment skills to share my skills to stay active to support the cause other Please list one reference Submit