Survey - Colorado Walk Volunteer - The ALS Association Colorado Chapter

The ALS Association Colorado Chapter

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Colorado Walk Volunteer

Please enter your contact information below:

Name:

Title	First Required	Middle Required	Last Required	Suffix

Email: Required

Street 1: Required

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number: Required

Yes, I would like to receive e-mail from The ALS Association Evergreen Chapter

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*	User Name: Required	5 to 60 characters
*	Password: Required	12 to 99 characters
*	Repeat Password: Required

Question - Not Required - How should we contact you? Email
Phone

Question - Not Required - At which Walk location would you like to volunteer?

Question - Required - How would you like to help?
Please make between 1 and 5 selections from the choices below.

	Walk Committee Volunteer
	All Day Walk Volunteer (6:00am-2:00pm)
	Morning Walk Volunteer (6:00am-10:30am)
	Afternoon Walk Volunteer (10:00 am-2:00pm)
	Donation Pick-ups

Question - Not Required - If you are interested in serving on one of our Walk Committees, please indicate your area of interest:

	Corporate Sponsor Committee
	Logistics Committee
	Volunteer Committee
	Food & Beverage Committee
	Entertainment Committee
	Outreach Committee

Question - Not Required - If you are interested in becoming a Walk Day Volunteer, please indicate your area of interest:

	Set-Up
	Registration/Greeting
	Accounting
	Walk Route Monitors
	Checkpoints
	T-Shirts
	Advocacy
	Clean-Up

Question - Not Required - How did you hear about our Walk Volunteer opportunities?

(Maximum response 255 chars, approx. 5 rows of text)

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The ALS Association Rocky Mountain Chapter
10855 Dover Street, Suite 500
Westminster CO 80021
(303) 832-2322