Volunteer Recruitment Form** NOTE* if you can not use this form Please Call WILC at 914-682-3926
Name: Date:
Address:
City/Town: State: Zip Code:
Telephone #: TTY #:
Fax #:
E-Mail Address:
Gender (M or F): Registered to Vote Y or N :
Ethnicity: White/Caucasian Black/African American Hispanic Asian: Native American/Alaskan Native: Native Hawaiian or Other Pacific Islander
Other:
About WILC Links:WILC Programs and Services | Directions to WILC | WILC Address and Telephone Numbers WILC Satellite Office Info | Hotels and Dining Near WILC | WILC Employee Wins National Award
Main Navigation: About WILC | A D A Information | All About I L | Fair Housing | LINKS |Home
