This is the Volunteer Form to be used for the Heartland Council Pioneers


Listed below are projects that will require volunteer help.   Please consider "signing up" for one or all of these activities now or any time during the year.
Please fill in all fields marked with a **
All current or retired Western Electric, AT&T, Lucent, Avaya and CSMI employees, can volunteer to participate in any Heartland Council Pioneer project. If you are interested in any of our special fall projects, please provide the council with information using the following form. When you are finished click the Submit button. The Heartland Council will contact you with details about the project.  Thanks for your interest and volunteering!

Contact Information

*
First Name:

* Last Name:

* E-mail:

   Home Phone:

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Mailing Address

The following address information is optional. However, if you want us to contact you via U.S. mail or are requesting materials such as a brochure, you will need to provide a mailing address.

Street Address:  
City/State/Zip:  
Employment Status

*

Current Lucent or Avaya Employee
Retired Western Electric, AT&T, Lucent or Avaya Employee
Other Telecom Company Employee (CSMI)
Volunteering Options


Check the projects in which you are interested. This is just a partial list of to give you an idea of what we do in the community.  Select the one(s) that interest you and volunteer today.  Most of the project are year round and some are seasonal.  If you have an idea for a project check the box "I Have An Idea" and give us a brief summary of the project in the Other Information box below.  Please leave any other comments in the same box.

Hooks and Needles
Sight Screening
Driving for the Blind
We Can Help
Book Sale
Art Sale
Mentoring
Parking Lot Sale
Playground Maps
Octopuff
Heart Pillows
Habitat For Humanity
Dolls and Bears
Angle Tree
Hug A Bears
TurkeyFest (Thanksgiving)
Adopt A Family
Bell Ringers
QWest Center Concession Stand
I Have A Idea

Other Information
Preferred Contact Method
E-mail Phone U.S. Mail