Volunteer at GNESA

Please complete and submit this information if you would like to volunteer to help rape and sexual assault victims in Georgia. We are always in need of both skilled and unskilled volunteer help. The fields marked with a * are required.

Name*
Address*
City*
County*
State*	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip*
E-Mail*
Phone
Work phone
Fax
How you can best assist us?
Clerical - filing, making photocopies, typing documents, bulk newsletter mailings Legislative - research and action alerts Media/Marketing - search newspapers for articles related to sexual assault Community - staffing GNESA booths at festivals, fairs, conferences; helping with outreach programs
How many hours per month can you volunteer for GNESA?
What time of day are you available?
How did you hear about GNESA?