Volunteer Sign-Up * Volunteer First Name: * Volunteer Last Name: * Address: * City: * State: ILLINOIS INDIANA KENTUCKY MARYLAND MICHIGAN NEW YORK OHIO PENNSYLVANIA VIRGINIA WEST VIRGINIA * Zip: * Phone: (XXX)XXX-XXXX Fax: (XXX)XXX-XXXX Email: Date of Birth: * Gender: Female Male * Select the type of service (no more than 5 choices): Child/Youth Services Disabled Services Education/Literacy Faith In Action Program In-Home Assistance Maintenance Work Office Work Senior Citizen Services Short Description: Comments (i.e. I can only work the 3rd Sunday of the Month):