USC UPSTATE

VOLUNTEER INFORMATION SHEET

Thank you for your interest in volunteering with The Wall That Heals exhibit. Please complete the following information to help us utilize your time and talents wisely. If you have any questions, contact the volunteer coordinator, Laura Puckett-Boler at 864-503-5387.

Name: 

Address: 
City:  State:  Zip:  

E-mail: * 

Phone: (Day)   (Evening)
           (Cell) 

Employer/School (if applicable)

I am interested in helping with the following (check all that apply):

Are you a Vietnam veteran?   (Select One) Yes No  

Do you have a personal connection with someone whose name is inscribed on the Vietnam Veterans Memorial?  If yes, please provide their name and your relationship to them.
 

Have you or a close family member served in the military? If yes, please explain
 

If you are volunteering as a representative of a service organization or group, please list it here:
 

Are you comfortable searching names on the computer database (18 & up?) (Select One) Yes No

Please select the day(s) and time(s) you are available to volunteer. Feel free to volunteer for more than one time block.