Survey - Summer Pledge Drive 2012 Volunteer

Summer Pledge Drive 2012 Volunteer

**Attention Senior Volunteers: We are pledging every evening from 8/10 through 8/25. If you go online to sign up and one of the evenings does not appear, it is the phonebank that has reached full capacity.**

1.

Please add your contact information.

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Yes, I would like to receive e-mail from Detroit Public Television

Yes, I would like to receive postal mail from Detroit Public Television

2.

Question - Not Required - Please select the dates and times of the shifts you wish to work.

	Monday 8/20 6pm - 11pm
	Saturday 8/25 1pm - 6:30pm

*3.

Question - Required - Are you a first-time volunteer? Yes
No

*4.

Question - Required - I am interested in bringing a group. Please contact me about the shift(s) selected. Yes
No

*5.

Question - Required - I want to receive information regarding future volunteer opportunities by email only. Yes
No

6.

Question - Not Required - Please type your comments or questions below.