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SERVING INDIVIDUALS AND FAMILIES LIVING WITH MENTAL HEALTH NEEDS IN MIDDLESEX COUNTY SINCE 1968
Volunteer Application
Step
1
of
2
50%
Name of Applicant
*
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Street Address
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Are you a relative of a current Gilead employee or client?
Yes
No
If Yes, Provide Name
Ways to volunteer: Working with clients, Legislative Advocacy, Administrative tasks, Social media, Help with fundraisers.
Your areas of interest for volunteering to include if you prefer direct or indirect client contact:
Skills or interests you would like to share with Gilead:
Is this Community Service?
Yes
No
Is this required for school?
Yes
No
I am available:
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Wednesday Morning
Wednesday Afternoon
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Thursday Afternoon
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Friday Afternoon
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Please specify am or pm and how many hours a week/month you would like to volunteer.
Is this an ongoing commitment?
Location(s) you would like:
Middletown
Chester
Clinton
Portland
New Britain
Email
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