Survey - Volunteer Survey - ALS United Greater Chicago

Volunteer Survey

Are you interested in volunteering with ALS United Greater Chicago? Register now to join Lou's Crew of Volunteers and we'll keep you posted about upcoming volunteer opportunities!

Please complete this online interest form and we will contact you shortly.

Please provide your preferred contact information.

Field Is Required First

Field Is Required Last

Date of Birth:

Employment Information

Employer:

Occupation:

Street 1:

City/Town:

State / Province:

ZIP / Postal Code:

Field Is Required Email:

Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from ALS United Greater Chicago.

Keep me logged in. What's this?

By providing your phone number, you are opting-in to receive text messages from ALS United Greater Chicago. You can easily opt-out at any time by replying STOP, and if you need assistance, reply HELP. The frequency of messages will be based on your level of involvement throughout the year and will not be overly frequent. Please be aware that standard message and data rates may apply.

Do you have a personal connection to ALS?

If yes, please tell us about your connection (optional): (Maximum response 255 chars, approx. 5 rows of text)

If you have any other volunteer interests or ideas how you can help ALS United Greater Chicago, please describe below: (Maximum response 255 chars, approx. 5 rows of text)

If you indicated interest in the Family Volunteer Assistance Program (opportunities to volunteer directly for a person living with ALS and their family; additional screening & reference/background check is required to participate), please indicate what help you are interested in providing:

Home Maintenance (light repair work, inside or outside needs)
Yard Care (gardening, mowing, snow removal, etc)
Household Chores (vacuuming, dusting, laundry, etc)
Assisting with Correspondence (sending emails, writing letters, etc)
Errands (grocery shopping, post office, etc)
Pet Care
Visiting

Field Is Required What is your preferred method of contact?

Phone
Text
Email

Thank you for taking our Lou's Crew Survey! We look forward to working with you. Please keep an eye out for a message from our Volunteer Coordinator, Kat Lamar. If you need anything in the meantime, email kathyrn@alsunitedchicago.org or call 312-932-0000.