Volunteer Form ALABAMA Volunteer Form First Name Last Name Email Street City Zip/Postal Code States Please select…ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Phone Company Yes, I would like to receive communications from MADD Edit this text Please select the type of messages you would like to receive: MADD Local eNews: local information, events and action alerts.MADD National eNews: monthly MADDmessenger, national action alerts and more. Are you a victim/survivor of a drunk or drugged driving crash? Please select…yesno Have you ever been convicted or currently charged of a DUI/DWI offense (or the equivalent)? (A DUI/DWI conviction does not necessarily preclude a person from becoming a MADD volunteer.) Please select…yesno Interest (check all that apply): Victim ServicesLegislative AdvocacyFundraising/EventsUnderage Drinking PreventionCommunity LeadershipLaw Enforcement RecognitionCourt Monitoring Availability (check all that apply): EveningsWeekendsDaysOnce/Twice a month1 – 2 hours/week3 – 4 hours/weekOther Comments? Need assistance with this form?