2018 Volunteer Center Membership Renewal
Please plan 15-20 minutes to complete this form.

Important!

Before you begin, please have proof of liability insurance covering volunteers saved as a PDF.
You'll be asked to upload the file later.
Get started
 
Thanks for your renewing your membership.

What is your first name? *

 
Last name?

 
What is your title? *

 
Your telephone number: *

 
Your organization's name: *

 
Are you the Executive Director? *

     
 
What is your Executive Director's first name? *

 
Last name: *

 
Phone number: *

 
Primary Contact Information

The person listed below will be the primary contact for volunteer connections and will receive important updates about our tools and resources.

 
Make me the primary contact for my organization *

     
 
Make {{answer_bCGAKk0qYsPw}} {{answer_65384336}} the primary contact? *

     
 
What is your primary contact's first name? *

 
Last name? *

 
What is {{answer_65382297}}'s title? *

 
Phone number? *

 
Thank you.

Anything else we should know about your primary contact?

 
Secondary Contact Information

 
I would like to list a secondary contact *

     
 
Please select from the options below *


 
What is your secondary contact's first name? *

 
Last name? *

 
What is {{answer_65385024}}'s title? *

 
Phone number? *

 
Thank you.

Anything else we should know about your secondary contact?

 
Help us learn more about your organization's volunteer program.

What age can you volunteer with a parent or guardian present? *

 
What age can you volunteer without a parent or guardian present? *

 
We're often contacted by groups looking to volunteer together (employees, teams, clubs, etc). Help us connect them to you!

Let us know how you could use the help of a volunteer group. Please list as many details as you can, including a brief project description, desired group size, and preferred days/times. *

 
Can you accept court mandated volunteers? *

     
 
How should court mandated volunteers contact your organization? *

*This information will be included in a directory on our website.
 
Any special instructions or restrictions for volunteers needing court mandated hours? *

*This information will be included in a directory on our website.
 
Almost done!

Are you interested in hosting a Do Good Bus Ride in 2018? *


 
How about a Camp Super Hero group in the summer of 2018? *


 
Do you have a preference for your Tip Week at the Hub? This will also involve additional promotion of your organization and volunteer needs.

Tip weeks will run Tuesday through Sunday beginning in February 2018. Requests will be accepted on a first come, first served basis. We'll do our best to accommodate your wishes! Our full schedule will be released in January.
 
Please upload proof of liability insurance covering volunteers.

 
Are you interested in attending a refresher course on managing your Get Connected account? 

Please select dates you'd be available below. We'll confirm after we gauge interest. *


 
Terms of membership *

I understand that vounteers may not be recruited for political campaigns or work that can be viewed as overtly political, or to take part in religious activity or proselytizing.
     
 
Payment options *

$257
Make checks payable to:

Volunteer Center of Washington County
303 Water Street Suite B
West Bend, WI 53095

 
Amount due: {{var_price}}

 
Please enter your Credit or Debit Card number:

 
The CVC number:

(3 or 4 digit security number on the back of your card)
 
The name on your card:

 
Your card's expiry month:


 
Your card's expiry year:


Thank you for your renewal!
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