Explore, enjoy and protect the planet
Michiana Group
Volunteer

Name ________________________________

Address _______________________________

________________________________________

Phones: Day________________ Evening______________

Email: _____________________________

INTERESTS (check items of interest to you):

Outings I would like to attend: __ Backpacking __ Camping __ Biking__ Hiking __ Kayaking/Canoeing __ Other (specify)___________

__ I would like to take: ___ First Aid Training ___Outing Leaders Training ___ Other (specify) ____________________________

__ I would like to lead some outings.

ISSUES (I would like to work on): __ Wildlife Issues __ Rivers/Clean Water __ Groundwater __ Clean Air __ Global Warming __Other (specify)____________________

INVOLVEMENT (check items that interest you):
__ Write Letters __ Review Permits __ Lobby for Legislation __ Attend Hearings __ Serve on a Committee __ Conservation Issues __ Outings __ Education __ Political Committee _____ Fundraising __ Awards __ Membership __ Outreach __ Plan Activities/Events __ Public Relations __ Political/Legislative Action ___ Other (specify) ______________________


Please mail to:
Hoosier Chapter of the Sierra Club
Attn: Michiana Sierra
1100 W. 42nd St., Suite 140
Indianapolis, IN 46208







Copyright Michiana Group of the Hoosier Chapter of the Sierra Club



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