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Access your profile
Scroll to see more shifts & complete your submission at the bottom of the page.
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What's your email address?
Your email address:
Your information
Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
First Name *
Last Name *
Mobile Phone *
For example, 123-456-7890
SMS/text messaging:
By providing your mobile number and checking the box below, NRCIL will be allowed to send you SMS (text) messages relating to their volunteer activities.
To opt-out,
reply STOP to any SMS message OR return to this form and uncheck the box.
I consent to opt-in to receive SMS (text) messages from NRCIL
Profile Picture
What is your birthday?
A valid date as MM/DD/YYYY (for example: 11/30/2015)
What is your street address?
What town do you live in?
Would you like to volunteer as a Systems Advocate? Please choose areas of interest to you
ADA/Accessiblity
Employment
Housing
Long Term Care
Introduction to politics
Insurance issues
Transportation issues
Erase stigma
Incarceration
Education
Medication Management/Chronic Illness
Voting/Voting Rights
Would you like to volunteer to help out in the office? What things would you like to do?
Light cleaning/ Picking up
Bulk Mailings
Making copies
Filling information packets
Filling comfort care packages
Reception
What days of the week would you like to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
What shift would you like to work?
Morning
Afternoon
Who should we contact in case of an emergency? Name and phone number
Where can I volunteer?
At my home
At NRCIL
In public areas - indoors
In public areas - outdoors
How would you prefer to volunteer?
Work alone
Work in small groups
Work in large groups
