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Home
About
The Foundation
Our Team
News
Press Kit
Our Sponsors and Donors
Contact Us
Services
For The Grieving
For Community Supporters
For Researchers
For Providers
Our Advocacy
Human-Animal Support
Programs
The Kindness Project
Kindness Walks
Kaleidoscope Children’s Project
Retreats
CBC Certification
Carefarm
Get Involved
Shop
Donate
MISS Volunteer Information Form
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MISS Volunteer Information Form
Note: Please fill out the entire form. We will only publish your name, location (city, state and zip only for mapping purposes), your Support Team / Member Type, your story (if you would like to share) and picture (optional).
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Geocoder
Primary Contact First Name
*
Primary Contact Last Name
*
Volunteer "Display" Name
*
This is how your name will appear in our website listing.
Name(s) of Beloved(s)
Primary Contact Email
*
MISS Foundation Contact Email
*
(If not assigned yet, please type "NA" in box)
Volunteer Phone
*
Street Address
*
Apt/Suite
City
*
State
*
Zip Code
*
Country
Support Team/Member Type
*
Advisory Board Member
Advocacy
Bereaved Parents Advisory Board Member
Event Coordinator
Executive Board of Director
Facilitator
Legislative Liaison
Local Chapter
Mentor
MISS Volunteer
Moderator
Online Forum
Peer Support
Research
Research Committee Member
Staff
Please share how you are involved with MISS
*
(If you do not wish to share your story, please just type in "MISS Volunteer since 20xx..."
What role(s) do you serve for MISS? Since when?
*
What is your volunteer experience within the past 24 months?
*
Additional Questions/Comments/Information
Please let us know if you have any questions or would like to provide any additional information.
Picture Upload
Accepted file types: jpg, jpeg, png, gif.
Do you have a photo of yourself you'd like to share? Upload it here.
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Opening Hours
Monday - Tuesday
9.00 - 17.00
Saturday
9.00 - 16.00
Sunday
Closed