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NWPM Volunteer Application form

Please fill out all fields before submitting. Thank you!
Northwest Portland Ministries
2701 NW Vaughn St., #102
Portland, Oregon 97210
USA
E-mail:info@nwpm.org
503-221-1224

Name * First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Number ### - ### - ####
Emergency contact phone number here!
Who do we contact in an emergency?
Birthday. MM / DD / YYYY
Preferred time of day to volunteer.
Mornings Afternoons Evenings
Preferred days of week to volunteer.
Week-days Week-ends Anytime
I can help with: *
Visiting 1-on-1 Friendly Companion Transportation Escort Telephone assurance Meal preparation & socialization Community garden Emergency Food Box Program Housekeeping Minor home repairs Committee service (special events, fundraising, etc.) Office help Group activities (tea party, games, classes) Other_____________________________________________

Select all that apply!
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