Youth Services Inquiry Form

 

Personal Information
   

 Name:

  
 Street:  
 City:  
 State:  
 Zip Code:  
 Home Phone:  
 Work Phone:  

 E-mail:

  
   

 

 Please indicate your areas of interest (check all that apply):

 Administration

 Teen Clubs

 Junior Red Cross

 Youth Support

 Student Interns

 Chapter House Teens

 Blood Information and Sponsors

 Fund Raising

 Youth Health and Safety

 Leadership Programs

 Campus Clubs

 International

 Other (Please specify below)
   

 

 

 Do you have special skills that you would like us to know about?

 

 What times are you available to volunteer?

 

 How did you learn about our home page?

 

 

 

 

Thank you for your interest in the St. Clair County Chapter of the American Red Cross.  An official application will be sent to you via US Mail within 7 business days.  You will be contacted for an orientation meeting after your completed application is returned to us.