Volunteer Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2019 Recovery Walk

Email *

Name *

Best Contact Number *

Organizational Affiliation

Have you participated in a Recovery Walk before?

Yes

Clear selection

Is there a particular campus whose team you'd like to join?

Do you speak any languages besides English?

Yes

Clear selection

If yes, what language(s)

Confidentiality Agreement: As a Midland ISD volunteer, I understand that confidential information about current and former students of MISD and their families may arise. By signing this statement, I am indicating my understanding of my responsibility to maintain confidentiality. I agree not to divulge, publish, or otherwise make known to unauthorized persons or to the public any information obtained in the course of the Dropout Recovery Walk that could identify the persons visited during the event. Please type your first and last name below as your digital signature. *

Questions?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Midland ISD. Report Abuse

Forms