Survey for Volunteer Opportunities with the Epilepsy Foundation in Iowa
There are several ways to volunteer for the Epilepsy Foundation in Iowa to help extend our outreach and fundraising efforts across the state!  Please fill out this brief survey.
 
1.

Are you willing to host a local fundraiser?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
2.

Are you willing to host/organize an event with help/guidance from the Epilepsy Foundation?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
3.

Are you willing to volunteer to help with the Iowa Walk for Epilepsy in West Des Moines?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
4.

Are you willing to volunteer to help with the Iowa Walk for Epilepsy & 5K in Iowa City?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
5.
Are you willing to help pick up and/or ask for items for a charity auction in Des Moines or Iowa City?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
6.

Are you willing to organize a large team for one of the epilepsy walks in honor of your loved one with epilepsy?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
7.

Are you willing to be an advocate in your area with local legislators on legislative issues that impact epilepsy?

Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
8.
What gifts or talents do you have that you feel could help us help more people/families affected by epilepsy?
 

1000 characters left.
9.
Are you willing to help with occasional volunteer work, such as assembling materials/packets at the Epilepsy Foundation Iowa office during the business week?
Yes
Not at this time
Other  
  • Comment:

  • 500 characters left.
10.
Please enter the information indicated below, so we may follow up with you regarding your volunteer interests.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
County: