Please ask your hospital, medical professional or social agent for a referral today. They can call 312-996-1167.
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Project Inquiry Form
Project Inquiry Information
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Please Note- Our communication is performed through email. If you prefer to be contacted by telephone, please let us know.
Cell Phone Number
Work or Home Phone Number
I prefer to be contacted by telephone
If you are a group, please indicate what best describes the group. Check all areas that apply.
Community Organization
Corporate
Non profit Organization
Faith Based Organization
Civic / Government
Academic Association- Honor Society, Etc.
Group connected with a hospital (Nurse/Doctor Association, Board, Etc.)
Education- College Level
Education- Grades PK-12
Club
Rotary
Other, please describe
How did you hear about IMD Guest House? Please check all that apply.
Volunteer Fair
VolunteerMatch.org
A Volunteer
IMD Guest House Staff or Administrative personnel
IMD Guest House Website
Internet
Other
Proposed Project Date
1st Preferred Volunteer Date
*
2nd Preferred Volunteer Date
Donated Items for Project:
Additional Inquiry Information
Community Room Project Selection (All weekday projects must end by 8:00 p.m. and all Saturday projects must end by 2:00 p.m.)
Evening Meal Maker (Volunteers arrive by 5:00 p.m.)
Grab 'n Go Breakfast (Volunteers arrive by 8:00 a.m.)
Weekday Baker (9:00 a.m. - 8:00 p.m.)
Saturday Breakfast (Volunteers arrive by 8:00 a.m.)
Saturday Baker (Volunteers arrive by 10:00 a.m.)
Other Projects:
Guest Greeter
Welcome Baskets
Comfort Cards
Administrative / Clerical
Special Events
Other- (Please describe)
Completing Volunteer Hours as a Requirement?
Require verification of volunteer hours?
*
Yes
No
If yes, how many hours?
Due date for requirement of volunteer hours
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(MM/dd/yyyy)
Complete Inquiry
Questions or for more information about volunteer opportunities, please contact the Volunteer Coordinator at 312-996-9287
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