* Required Fields .


Volunteer for NMEA 2006
Contact Blanca Ching for information bspace@juno.com

Pick one: Ms. Mr. Mrs. Dr.

Last Name: *

First Name:*

Initial:

Mail Adr. 1:*

Mail Adr. 2:

City:*

State/Provence:*

Zip/Postal:*

Home Phone: * At least one Phone or email.

Work Phone:

Cell Phone:

email:

Volunteer Area of Interest (You may sign up for more than one):
  

NMEA Central (Mostly L.I.U. Brooklyn Campus)
Registration.
Exhibits
Hospitality
Speakers
Housing
Concurrent Sessions(workshops)
Will work where needed
  

SPECIAL EVENTS
Auction
Field Trips (leading/escorting bus trips)

Please pick a T-shirt size
for your NMEA06 Volunteer T-shirt.
Small
Medium 		Large
eXtra Large

Date(s) available:
        (Please indicate time of day with M-[morning] A-[afternoon] E-[evening] D-[all day])*
   Sat 7/15   Sun 7/16   Mon 7/17   Tues 7/18   Wed 7/19   Thur 7/20   Fri 7/21

I have a car available to me to get to off campus locations

Emergency Contact: *
  Name:   Phone number:         Relationship:

Are you at least 18 years old       Please Check if yes.
Volunteers 16 and 17 will need a parental waiver signed. We will mail this to the address given above.