Speaker's Bureau Volunteer Registration Form

Any field marked with an asterisk (*) is required.

*Name
Title
Organization
*Street Address
Address (cont.)
*Town
*Postal Code
   
*Phone
FAX
E-mail
URL

What type of training are you able to provide:

Leadership
Board Development
Volunteer Management
Legal/Liability
Technical
Other (Please specify)

Type of commitment:

occasional
6 months - 1 year
1 year or more

Availability:

weekdays
evenings
weekends
flexible

Willing to travel within Cumberland County:

Yes       No

Note: Volunteers should be willing to pay for any travel/meal expenses unless an agreement has been made with requested organization.

Please provide any additional comments: