Grand Valley State University Women's Center

WIVC Registration Form

Making a difference in the lives of women and girls through volunteer opportunities that pair education with activism.

Name: *
BB Username: *

Current/Local Address: *
City: *
State: *
Zip: *
Phone: *
Email: *

Permanent/Home Address: *
City: *
State: *
Zip: *

Affiliation: *
Year: *
Major: *
Expected Year of Graduation: *

I am interested in volunteering in these ways: *	a few times throughout the semester short-term (regular schedule, 1-3 months) long-term (regular schedule, up to a year)
Where would you like to volunteer? *	On campus only Off campus - I have transportation Off campus - if transportation is provided
What time(s) of day would work best for you? * (Please select all that apply)	Morning Afternoon Evening Weekends
Please answer the following:
1. Why are you interested in volunteering through the Women's Center and what do you hope to gain from your experience? *
2. Do you need to fill hours for a class, program, Greek organization or other group? * Yes No
Course/program: *
Professor's name: *
3. Have you take Women and Gender Studies classes? If so, please list them. (Note: Not a requirement for volunteering.)
4. Is there anything else you would like to add?
How did you hear about the WIVC? *	Program/Flyer in a public location Word of Mouth Website Email Classroom/Faculty: Personal Mailer Information Table Lanthorn Articles Other:
In case of an emergency, please notify:
Name: *
Relation: *
Phone: *
Phone 2:
In registering to be a volunteer through the Women's Issues Volunteer Corps, I agree to attend a volunteer orientation and understand that information about my role in the WIVC may be shared with my professor(s).