Fundraising Committee Application

If you would like to join the Fundraising Committee volunteers to help plan and coordinate new and ongoing fundraising events, please complete the following form and click on the "Submit" link below.

(*Required Information)

Date*                       Date of Birth*       



City*           Zip Code*    County* 

Telephone #*            Fax #* 

Email Address*


What is the best time to contact you?*

     after  and before 


To plan committee meeting dates and times, please answer the following questions:


1.  What days are you available for committee meetings*  (check all that apply)


Monday Tuesday Wednesday Thursday Friday Saturday Sunday


2.  What times are you available for committee meetings?*


     after  and before 


Which of the following would you be interest in helping with?* (check all that apply)


ChairpersonEvent PlannerVolunteer SchedulingGrant WritingDonation Box Placement Donation Box Collection of FundsProcuring Donated Services or Goods

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