Rainbow/PUSH : : Wall Street Project

Volunteer Opportunities

Are you interested in serving as a volunteer with the Wall Street Project. If so, please complete the form below or contact: Volunteer Coordinator c/o Rainbow/PUSH Wall Street Project, 5 Hanover Square, 2nd Floor, New York, NY 10004 If you have any questions, please contact us by at 212- 425-7874.

Contact Information

Last Name:

First Name:

MI:

Mailing Address:

City:

State:

Zip:

Home Phone#:

Day or Mobile Phone#

Day Mobile

Email Address:

I was referred to volunteer by:

Last Name

First Name

Emergency Contact Information

Last Name:

First Name:

Relationship:

Mailing Address:

Primary/Day Phone:

Secondary/Evening Phone:

Email Address:

Please indicate your choice of Volunteer Position(s) by entering your selection in the text box, or download PDF Volunteer Form

Volunteer Time Schedule(s)

Date	Morning	Afternoon	Evening
Sunday Jan.7,2007	11:30am–2:30pm	2:30pm– 5:30pm	5:30pm–8:00pm
Monday Jan.8,2007	6:30am–11:30am	11:30am–5:30pm	4:30pm–8:00pm
Tuesday Jan.9,2007	6:30am–11:30am	11:30am–4:30pm	4:30pm–8:00pm
Wednesday Jan.10,2007	6:30am–11:30am	12:00pm–3:00pm	N.A.

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