Volunteer Application Form Thank you for your interest in volunteering for The Dragonfly Foundation. Your support will help provide strength, courage and joy for patients and their families. Please complete the form below. CONTACT INFORMATION Region of InterestPlease select... Cincinnati Chicago **Please note that we have limited volunteer opportunities in Chicago. However, we will definitely keep you in mind and let you know as soon as opportunities become available.** REQUIRED Are you interested in volunteering...Please select... As an Individual As an Individual & As A Group As Part of a Group REQUIRED: Are you under 18?Please select... Yes No First Name Last Name Email Mobile Work Phone REQUIRED: Home Address Street Address City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Organization/Group Information Name of Company or Group Even if more than 1 organization is involved in hosting an event, please list only 1 organization name. Other names can be added in the description field. x Organization Street Address City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Having trouble with this form?