VOLUNTEER APPLICATION FORM

Thank you for your interest in volunteering with us! Please fill out this form to apply as a Gilda's Club Grand Rapids and/or Gilda's Club Lowell Volunteer. If you have questions, need assistance or to learn more, please contact Volunteer Manager, Ben Mepham, at bmepham@gildasclubgr.org.

Step 1 of 5

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  • General Information

  • What is your date of birth? (Note: Anyone 16+ can volunteer. We ask that volunteers younger than 16 help alongside an adult).
  • Please provide the First & Last Name of your preferred emergency contact. Specify their relationship to you (mother, father, wife, husband, etc.)
  • Please provide your emergency contact person's phone number:
  • Please provide your emergency contact person's email address: