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2. Thank you for your interest in volunteering for the City of Issaquah Human Services Department. Please complete the following information and a staff member will get back to you.
4. First Name*
5. Last Name*
7. Home Address*
9. Home Address
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Additional Languages Spoken*
20. Dates and time that you are available to volunteer*
22. From the Human Services Grants that we fund, what areas do you find most interesting.

    Check all that apply:

    1. Food to Eat and Roof Overhead
    2. Supportive Relationships within Families, Neighborhoods & Communities
    3. Safe Haven from All Forms of Violence & Abuse
    4. Healthcare to be as Physically and Mentally Fit as Possible
    5. Education & Job Skills to Lead an Independent Life
24. Questions or want to learn more? Contact us at HumanServicesStaff@issaquahwa.gov
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field