The Lansing Area AIDS Network
913 West Holmes, Suite 115, Lansing, MI 48910
Home or Cell Phone:
The following information is collected for demographic purposes only, and is optional at this time. However, this information will be requested later to facilitate reporting and assignment requirements.
Date of Birth:(MM/DD/YYYY)
Please Select One
Native Hawiian/Pacific Islander
American Indian/Alaskan Native
More than one race
Education completedPlease select all that appy
Degrees, Licenses, and Certifications:
Do you have a valid Michigan Driver's License?
Do you have access to a car?
List any other skills (i.e. spoken languages, ability to sign, etc.):
What do you perceive as your personal strengths?
What specific interests or hobbies do you have?
Do you consider yourself knowledgeable about ... (Check all that apply)
HIV / AIDS
Describe your feelings about the AIDS epidemic and its effect on you.
How did you hear about LAAN services and/or volunteer programs?
Please indicate which volunteer positions interest you(Check all that apply, one minimum)
HIV/AIDS Resource Volunteer
Food Pantry Volunteer
Board of Directors Volunteer
How many hours per week are you available to volunteer?*
Please indicate your availability by day:Check all that apply, one minimum)
Thank you! Your application has been submitted, and you will be contacted soon to discuss the details of your interest and to schedule an interview. If you have further questions, please contact the LAAN office.