Living Room TEST 1 Content missing TEST 2 First Name: Last Name: Email: Phone: Zip Code: Age Group: 18-2425-4041-5455+Under 18 Relationship to mental illness (check all that apply): SelfFamily MemberFriendProfessional Gender: MaleFemaleTransgender MaleTransgender FemalePrefer not to say Have you ever received our services? YesNo In which areas are you interested in volunteering? ReceptionSocial & RecreationYouth Dept. SpeakerEducation Dept. SpeakerRecovery Support SpecialistSupport Groups In which areas are you interested in volunteering? Supported EmploymentAdministrationPrint ShopCafeFundraising EventsIT/Computer How did you hear about us? Internet searchVolunteer MatchGiving DuPageFriend/FamilySchool/Church/CourtOther Please note that these times are approximate. Monday 9am-1pm1pm-4pm4pm-8pm Tuesday 9am-1pm1pm-4pm4pm-8pm Wednesday 9am-1pm1pm-4pm4pm-8pm Thursday 9am-1pm1pm-4pm4pm-8pm Friday 9am-1pm1pm-4pm4pm-8pm Weekends (Fundraisers) YesNo Commitment Length 0-6 months6-12 months12+ months Detailed Availability (optional) Notes Are you bilingual? If so, what language(s) do you speak? Any special skills or talents that you feel would benefit our organization?
