Lupus Foundation of America Philadelphia Tri-State Chapter

Get Involved!
We are putting out a call for your help! As we would like to continue to grow our events, programs and awareness activities, we hope you will consider coming on board to help us grow our army of volunteers and supporters. Please take a few minutes to complete the survey below.

VOLUNTEER APPLICATION FORM

  Printable Form
* Denotes Required
First Name*
Last Name*
Company/School
Please complete a separate form for each co-worker/student
Address
City
State
County
Zip Code
Daytime Phone
Evening Phone
Please list and evening phone number if you would prefer not to be contacted at your daytime phone number.
Fax
Email*
   
I am:
   
Lupus impacts:
 
I am available the following days/times to volunteer:
 
Why are you interested in volunteering for the Lupus Foundation of America?
 
Previous Volunteer Experience:
 
Below is a listing of the Chapter’s Annual Events. Please indicate any/all that you would like to support:

Lupus Links Golf and Tennis Tournament (July)
Lupus Awareness Month (May)
Lupus Loop Run/Walk (October)

Walk for Lupus Now South Jersey (May)

Bridge Tournament (September)
Living Well with Lupus Annual Symposium (October)
World Lupus Day Rally (May)
Walk for Lupus Now Delaware (July)

 
Please check all volunteer opportunities that are of interest to you:
Advocacy
Office Support (filing, data entry, etc.)
Publicity/Public relations

Educational Programs
Health Fair Volunteer
Community Outreach
Outreach to High Risk Groups
Speaker’s Bureau
Support Group Facilitator
Self-Help Course Leader
 
Please check all skills that you possess:

Advocacy/public policy
Data Entry

Educational/Training
Event Planning
Fundraising
Goal Setting & Planning

Graphic Arts
Group Process & Dynamics
Language Skills

 

Legal
Management
Marketing
Public Relations
Video/Photography
Writing

Other Skills

 
Please provide two references:
1.
Name  
 
Phone 

 


2.
Name  
 
Phone 
Tell us your story!
Do you have lupus? Does someone in your family or a dear friend have lupus?
If you have a story you would like to share with us or the press, please include it below.

*No information will be shared with the press without your consent.

 
Volunteer Descriptions
 
Please read before you continue:
Please click the button below to process your application. Once processed, you will be advised of the next step. Processing times may vary depending upon your computer and internet connection.