Become a PinkHippy.org Volunteer

To become a volunteer we need to know a little bit more about you, so please fill out and submit the form below.   You will be contacted by a PinkHippy.org Board Member once your application is received.                                                                Email:  info@pinkhippy.org    Fax:  855-822-7216

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Name:      *
Address: *
City:          *    State:*     Zip Code:*
Phone:     *     Email:*
Best time to reach you:*           Your Birthdate: 

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What activities are you interested in volunteering for please check all that apply:
       dissemination of informational literature to local hospitals and health care centers
       deliver comfort items to local hospitals and health care centers
       community outreach to women and men's organizations and social groups
       assist with fundraising events
       assist with community outreach events
       coordinate and host, or participate in a sewing circle for after care pillows
       coordinate and host, or participate in a knitting or crocheting group for knitted knockers for breast cancer patients
       deliver comfort items to patients
       participate in our Bosom Buddy Network
       participate in our Reiki Network

Do you have any special skills you would like us to know about?


Please tell us why you would like to volunteer:

 

Please list any organizations that you have been involved with as a volunteer along with your title/duties*:

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