Offender/Victim Ministries, Inc · Volunteer Inquiry Form

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

I am interested in (check all that apply):

Neighborhood Accountability Boards

General Facilitation

M-2

Prison Arts Classes

Prison Pen Pal

Administrative Assistance

Other (list in Notes section)

Notes

Emergency Contact

Name

*

First Name

Last Name

Phone

*

Relationship

*

By submitting this form I agree -

*

to receive marketing and promotional materials

*

to opt-in to an occasional SMS message, if needed. (I will have the ability to opt-out later.)