Volunteer Information:
        Name:
        

        Address:
        

        Phone (Day):      Phone (Night):

        E-mail:

Volunteer Positions:
        Please check which activities interest you:
            Volunteer cook
            House maintenance
            Work on Board of Directors
            Work on Fund Raising Committee

        Approximate Time of Commitment: 

        Other (describe):
       

        Do you have any particular skills/talents that you would like to share with the Dismas Community?

        Please describe: