To become a UWRC VOAD volunteer, please provide us with the following information. Please fill out this online version with the information below:

 

Your Name:  Last: MI: First:
Home Address: Street:
   City: State: Zip:
   
Employer name and address:
   
Phones: Home: Cell: Work:
 
If you have access to a computer and e-mail at home, please provide us with at least one e-mail address.  UWRC VOAD may need to send you important information regarding relief efforts via e-mail during times of crisis.
E-mail Address: