Illinois Gender Advocates

Volunteer Activist Information

CONTACT INFORMATION

Name: _____________________________________________________________________________

Home Address: ______________________________________________________________________

City: ________________________________________ State: ____________ ZIP Code: _____________

Home Telephone: _________________________Work Telephone: ______________________________

Mobile Telephone: ________________________ E-mail Address: _______________________________

The preferred means of contacting you will be by e-mail. Please be sure to check your e-mail frequently and regularly. If you use an e-mail address at work, please be certain that your employer approves of you receiving and sending personal e-mail.

There may be times when we will need to contact you by telephone. Please provide the following information regarding telephone contacts:

_____ You may call me at home. Please ask for me (or leave a message for me) using the following name (if different from above): _____________________________________
_____ Please do NOT call me at home.

_____ You may call me at work. Please ask for me (or leave a message for me) using the following name (if different from above): _____________________________________
_____ Please do NOT call me at work.

_____ You may call me on my mobile phone. _____Please do NOT call me on my mobile phone.

PERSONAL INFORMATION (Check all that apply)

_____ I am NOT "out." Please take that into consideration.
_____ I am willing to work in my own home with no one else present.
_____ I am willing to work with a group of transgender people in a private home or office.
_____ I am willing to work with other LGBT people.
_____ I am willing to work in public situations.

I have the following special talents, skills, education, and/or training that may be useful in my volunteer work: ________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

I have the following limitations and/or disabilities that may limit the scope or extent of my volunteer activities:_________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

AREAS OF INTEREST (Please check all that apply)

_____ Serving as or assisting the Volunteer Coordinator.

_____ Serving on Documentation Committee, which may include gathering reports of discrimination and hate crimes, interviewing victims, preparing individual statements in written form, and assisting in the preparation of the annual report.

_____ Serving on the Fundraising Committee, which may include planning fundraising events and activities, contacting potential contributors for advertising and/or direct contributions, researching and writing grant applications.

_____ Serving on the Membership Committee, which may include recruiting new and renewal members, planning and running on-going membership drives, and planning methods of increasing membership diversity.

_____ Serving on ad hoc committees.

_____ Staffing a table or booth at programs, conventions, Market Days, etc.

_____ Writing press releases, articles for the newsletter, etc.

_____ Folding, stuffing, and addressing newsletters, invitations to fundraisers, informational notices, etc.

_____ Preparing bulk mailings.

_____ Participating in and presenting education and outreach programs, including programs at conventions.

_____ Planning programs for regular monthly IGA meetings and contacting and engaging speakers or presenters.

_____ Participating in direct actions, possibly in conjunction with other organizations.

_____ Helping to maintain the IGA web site.

_____ Taking charge of and coordinating special events organized by IGA (e.g. Day of Remembrance).

_____ Serving as liaison to other LGBT organizations. Specify: _________________________________

_____ Preparing artwork and/or design of informational and publicity materials, including brochures, posters, invitations to fundraisers, notices of special events, and program books.

_____ Working with the local access cable television program, which may include helping to develop programs, arranging for and coordinating guest appearances, answering and relaying telephone calls from viewers, and may possibly lead to serving as on-air host. (Certain activities will require a special audition and training, and may not be available to everyone.)

_____ Participating in voter registration drives.

_____ Driving members to and from surgery; visiting and helping members during recuperation.

_____ Other volunteer activities. Specify: ________________________________________________