National Multiple Sclerosis Society

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National Home > Chapters > Mid America > Volunteer Form

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Mid America
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Volunteer Form

Please fill in selected fields:

If you have previously registered, please login here to prepopulate your information.

Name:

First Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State/Province Required	ZIP/Postal Code Required

Phone Number:

Date of Birth:

Month

Day

Year

Yes, I would like to receive important email updates - including event announcements - from the National MS Society.

Yes, I would like to receive important postal mail updates - including event announcements - from the National MS Society.

Remember me. What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

*	Username: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Confirm Password: Required

Question - Not Required - Please indicate your interests. Check all that apply.

	Walk MS
	Walk MS Planning Committee
	Bike MS
	Bike MS Planning Committee
	General Program Volunteer
	Friendly Faces
	Traveling Turkeys
	Summer Visits
	Holiday Visits
	Holiday Party
	Speakers Bureau
	Office Support
	Advocacy Volunteer
	Other

Question - Not Required - Please select any skills or interests. Check all that apply.

	Accounting/Finance & Management
	Career Counseling
	Event or Program Planning
	Fundraising
	Government Affairs
	Graphic Design
	Investment Planning
	Law
	Marketing
	Media Relations
	Strategic Planning
	Web Design
	HAM Radio Operator
	Medical Certification
	Computers/Data Entry
	Grant Research
	Other

Question - Not Required - Please select availablity. Check all that apply.

	Weekdays
	Weekends
	One Time
	Weekly
	Monthly
	Daytime
	Evening

Question - Not Required - Please select all volunteer types you are interested in.

	In Office
	Programs
	Fundraising Events
	Other

Question - Not Required - Do you have a skill that's not listed? What's your reason for volunteering? Anything else you'd like to tell us? Let us know below.