SpiritHouse -- Contact

This form is designed to show the seriousness with which we treat the work of SpiritHouse. Please answer all questions and press Submit. If there are any questions please contact us at (919) 688-8111 ext. 288 or SpiritHouse@aol.com. Thank you for your support and interest in SpiritHouse.

Name (First and Last):
Date (mm/dd/yyyy):
Company/ Org./ Inst.:
Position/ Department:
Mailing Address:
Home Phone:
Work Phone:
E-Mail Address:
Fax:
I would like to be placed on SpiritHouse's contact list.
How would you like to be affiliated with SpiritHouse? (check all that apply) Volunteer Mentor Financial Supporter
Preferred Project (check all that apply): Youth Project Choosing Sides Activism SpiritHouse Presents Saturday Arts Academy Summer Camps The Liberation Project
In which areas do you prefer to volunteer (check all that apply): field trips visiting artist workshops tutoring: general reading writing science math computers history mentoring rites-of-passage life skills creative writing visual art dance drama music help with office operations special events committees etc
Other Activities I Would Like To Help With: Transportation Gather resource materials Share technology Help with fundraising Community Partnerships Donate supplies/ resources Provide a visiting artist/ field trip opportunity Other, please specify:
Have you had any experience working with middle school students, elementary school students or children in general?
Availability (check all that apply): Monday Tuesday Wednesday Thursday Friday Saturday Times:
Do you need transportation? Yes No Can you transport other volunteers? Yes No
Please submit additional biographical information, including special skills, interests, and experiences.
SpiritHouse retains the right to employ the services of all volunteers and teachers in whichever way that they see fit.