Volunteer Form - A Gift of Smiles

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Check all areas that you would like to help

In what other ways can you help us?

Availability-We all have busy lives. We try to accommodate our volunteers by having meetings when it is most convenient. Please let us know what days/times are best for you.

I’m available during the weekdays

I’m available dring the weekdays, but only when my kids are in school

I prefer meeting on the weekends

I prefer to meet in the evenings after work

I’m flexible with day and times of meetings

I prefer to volunteer from my home

You schedule the day and time and I will try to make it

Other (describe below)

Any Questions? Thank you for volunteering!