Volunteer Form

Thank you for your interest in volunteering for IML, please fill in the form below. If you need to change or cancel any shift please DO NOT resubmit an application online, please contact info@imrl.com and indicate what needs to be changed/canceled. Thanks again and remember to have fun volunteering!!!!!

Note: ALL FIELDS must be filled in, or your request may not submit properly. Thank you.

First Name

Last Name

Street Address

City

State/Province

Zip

Country

Home Phone

Mobile Phone

Best Time to Call

E-Mail Address

What name should appear on your badge?

If you work a 12-step program would you like to be identified with an orange recovery ID badge? (Check for 'Yes')

Person to Contact in case of an emergency

Relationship to Emergency Contact

Emergency Contact number

Are you Local to the Chicago Area?

Are you available for the May 22, 12:00 pm to 3:30 pm package stuffing? (Check for 'Yes')

What Physicial Limitations do you have, if any? (Check for 'Yes')

Other Comments?

Select your first volunteer shift
please choose the time of the shift

Select your second volunteer shift
please choose the time of the shift

Select your third volunteer shift
please choose the time of the shift

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