ContractVolunteer Application and Agreement • June 3rd, 2018
Contract Type FiledJune 3rd, 2018Volunteer Application and Agreement Date Name Contact information Phone, email, address Other pertinent informationNames / ages of children Work status Why are you interested in volunteering with PSVa?How many hours per week / month are you interested in volunteering?How did you learn about PSVa? Professional or personal experience as it pertains to PSVa (PPD survivor, friend/ relative of PPD survivor, etc) Any additional information you wish to share. ReferencesPlease provide two references and contact information Skills and Interests Direct support to new mothers□ Responding to calls and emails as a “Mom on Call”□ Leading a support group (including substituting)□ Speaking at mothers’ groups□ Other Support to PSVa□ Administrative support□ Special event planning and execution□ Communications / social media□ Database management and support□ PR / media relations□ Grantwriting, management, and reporting□ Outreach to maternal-child healthcare providers