Survey - Winter Pledge Drive 2012 Volunteer

Winter Pledge Drive 2012 Volunteer

**Attention Senior Volunteers: We are pledging every evening from 11/23 through 12/16. If you go online to sign up and one of the evenings does not appear, we still need you! It means the phonebank has reached 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.

	Friday 11/23 6pm 11pm
	Saturday 11/24 1pm 6:30pm
	Saturday 11/24 6pm 11pm
	Monday 11/26 6pm 11pm
	Monday 12/3 6pm 11pm
	Tuesday 12/11 6pm 11pm
	Wednesday 12/12 6pm 11pm
	Thursday 12/13 6pm 11pm
	Sunday 12/16 6pm 11pm

*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.