Volunteer Interests Survey
RequiredRequired Question(s)
1.

Are you a current member of Hemophilia of Iowa?

Yes
No
Required 2.
Tell us a little about you!

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
Best time to be contacted:
DOB:

Thank you so much for you interest in volunteering with Hemophilia of Iowa.
We could not do this without you!
 
Required 3.
What are you most interested in volunteering for? Please select all that apply.
Serving on the board
Walk/5k
Family Education Weekend
Advocacy, such as Hill Day
L.E.A.D 1 GURU
Firsts Steps Program
Bloodline Newsletter
Other  
  • Comment:

  • 500 characters left.
Required 4.
Would you be willing to sit on a planning committee for any events/programs?
Yes (If selected please comment what committee)
No
  • Comment:

  • 500 characters left.
Required 5.
If needed would you be willing to have a background check done?
Yes
No (If no please explain in the comment section)
  • Comment:

  • 500 characters left.
Required 6.

Is there anything new from Hemophilia of Iowa you would like to see and help make happen?

 

1000 characters left.