Volunteer with VIA!

	Volunteer with VIA! Please complete the form below. You will be contacted by a VIA coordinator in the near future. Thank you for your interest in volunteering at Conestoga Valley!

1.	Name

2.	Address
	Street/PO   City   State   Zip

3.	Phone Number

4.	Email Address

5.	I am interested in volunteering in
	Brownstown Elementary    J.E. Fritz Elementary    Leola Elementary    Smoketown Elementary    CV Middle School    CV High School

6.	I am interested in helping with
	Library    Copy and classroom materials    Events

7.	I have my required clearances.
	--None--YesNo