Young Professionals Volunteer Interest Survey
RequiredRequired Question(s)
Required 1.

Are you interested in getting involved with more volunteer opportunities through YPECT? 

Yes
No
Required 2.
If you answered 'yes' to question 1, please enter the information requested below. If not, there is no need to continue this form. 

Note: use the phone number you would like to be reached at if we were to notify you of volunteer activities with a call (work, cell, or home). If you choose email as primary contact format, we will not call you. 

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com

3.

Please select any and all causes/activities of interest to you: 


Hunger (ie. Gemma Moran Food Pantry, TVCCA Meals on Wheels)
Cancer and/or Illness (ie. Relay For Life, American Heart Association)
Homelessness and/or Housing (ie. Habitat for Humanity, Covenant Shelter)
Environment and/or Animal Welfare (ie. Beach Clean Up, CT Humane Society)
Special Needs/Disabilities (ie. Special Olympics, The Arc New London County)
Youth Programs (ie. Child and Family Agency, Boys and Girls Club)
Culture and Art (ie. Writer's Block Ink, Garde Arts Center)
Other  
4.

Is it okay for a representative of YPECT to contact you regarding specific volunteer opportunities? 

Yes
No
5.

What is your preferred method of contact for this kind of information?

Phone
Email