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
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Goodwill Website
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Other Website (Specify):____________________________________________________________________________
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Search Engine (Specify):_ __________________________________________________________________________
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Referred by (Specify): _____________________________________________________________________________
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___________________________________________________
Other (Specify):
Reason for Volunteering
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Employer Supported Volunteer Program: _____________________________________________________________
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School Supported Volunteer Program: _______________________________________________________________
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Day of Service_ _________________________________________________________________________________
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__________________________________________________
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