Volunteer Interest Form

Thank you for your interest in volunteering for the UVa School of Nursing! We will gladly try to find a match for your interest and abilities. Please answer the following questions and someone will get back to you as soon as possible.

Name:

Relationship:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Home Phone:

Email:

Employer:

Business Phone:

Alumni or Students

Degree:

Year of Graduation:

Prefered Method and Time to contact you

Do you live close to Charlottesville OR have the ability to get here often/when needed?
YesNo

Volunteering times vary, but to find a personal fit please check the type(s) of time commitment you are interested in.

1-3 hours per week
One weekend per month
2-5 hours per month
Unlimited time

Do you enjoy working with others as a team, as an individual, or both:

Are you interested in connecting with current students?
YesNo

If you are a graduate, are you interested in connecting with your classmates?
YesNo

Are you interested in advocating for the School of Nursing with others who are not as connected as you or with others who have no previous connection to nursing?
YesNo

What skills do you feel you have to offer as a volunteer: (Can choose more than one)

Event Planning
Marketing and Public Relations
Career Networking with students
Fundraising
Strategic Planning
Leadership Qualities
Other, please specify

I would be interested in the following specific opportunities: (Can choose more than one)

Helping host or plan special events
Mentoring/Networking at the Nursing Leadership Forum
Sharing career knowledge in classes
Reunions
Class networking as a Class Advocate
Helping identify corporate, foundation, or individual supporters of nursing

Serving on a committee, like :
Alumni Association Council
Advisory Board
The Virginia Legacy Editorial Board
‘Hoos Coming to Dinner Committee

What other interests do you have, or other affiliations with UVa?

Questions/Comments:

Email Comments to: School of Nursing Webmaster
Last Modified: Wednesday, March 07, 2007
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