2024 ALS United Walk - Volunteer Survey
Preferred Contact Information
Name:
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First
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Last
Address:
Street 1:
City/Town:
City/Town:
State / Province:
State / Province:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AS
FM
GU
MH
MP
PR
PW
VI
AA
AE
AP
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
None
Required
ZIP / Postal Code:
ZIP / Postal Code:
Email:
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Email:
Phone Number:
Phone Number:
If you respond and have not already registered, you will receive periodic updates and communications from ALS United Mid-Atlantic.
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Preferred Method of Contact
Please select response
Email
Phone
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Select which ALS United location you would like to volunteer:
Please make at least 1 selection from the choices below.
Scranton
Seaside
Hershey
Rehoboth
Ocean City
Lehigh Valley
Philadelphia
In the past, have you volunteered for ALS United Mid-Atlantic?
Please select response
Yes
No
Field Is Required
How would you like to help?
Walk Committee Volunteer
Walk Day Volunteer
If you are interested in serving on one of our Walk Committees, please indicate your area of interest:
Please make up to 2 selections from the choices below.
Corporate Support
Entertainment
Food & Beverage
Media & PR
Recruitment Lead
Volunteer Lead
Walk Day Logistics
Walk Team Mentoring
If you are interested in becoming a Walk Day Volunteer, please indicate your area of interest:
Please make up to 2 selections from the choices below.
Set-Up
Registration/Greeting
Walk Route Monitors
Checkpoints
T-Shirts
Manage Food & Beverage
Clean-Up
Spam Control Text:
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