Group Volunteer Application

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Group Volunteer Application
Contact Information
Date:
Group Name:
Street Address:
City, St, Zip:
Primary Phone:
E-Mail Address
Contact Information
Primary Name:
Street Address:
City, St, Zip:
Primary Phone:
E-Mail:
Secondary Name:
Street Address:
City, St, Zip:
Primary Phone:
E-Mail:
Referral Source
Goodwill Website
Other Website (Specify):____________________________________________________________________________
Search Engine (Specify):_ __________________________________________________________________________
Referred by (Specify): _____________________________________________________________________________
___________________________________________________
Other (Specify):
Reason for Volunteering
Employer Supported Volunteer Program: _____________________________________________________________
School Supported Volunteer Program: _______________________________________________________________
Day of Service_ _________________________________________________________________________________
__________________________________________________
Other (Specify):
Our Mission is to build better communities by providing opportunities
for people with disabilities and other challenges.
Goodwill Industries of South Central Wisconsin, Inc., 1302 Mendota Street, Madison, WI 53714
Phone: 608-246-3140 – Fax: 608-246-1984

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