Cardinal Hill Rehabilitation Center/Easter Seals of Louisville thanks the many volunteers who work so hard to provide quality care for our patients each year. Volunteers are needed in many ways to help staff accomplish the mission and core values. If you are interested in volunteering at Cardinal Hill Rehabilitation Center/Easter Seals of Louisville, fill out the attached Volunteer form or contact us at:

Cardinal Hill Rehabilitation Center/Easter Seals of Louisville
9810 Bluegrass Parkway
Louisville, KY 40299

Tel:  (502) 584-9781
(800) 778-6441
Fax: (502) 589-2409

Volunteer Interest Form

Your Name (*)	Please let us know your name.
Address (*)	Please let us know your street address.
City (*)	Please let us know your city.
State (*)	Please let us know your state.
Zip (*)	Please let us know your zip.
Phone Number (Evening) (*)	Please let us know your evening phone number.
Phone Number (Day) (*)	Please let us know your daytime phone number.
Fax Number	Please let us know your fax number.
Your Email (*)	Please let us know your email address.
Status	StudentRetiredSelf-Employed Invalid Input
School (if you checked student)	Invalid Input
Occupation (if applicable)	Invalid Input
Name of Employer (if applicable)	Invalid Input
Date of Birth (*)	Please enter your date of birth.
Does your employer encourage employee participation in civic activities?	NoYes Invalid Input
Have you been a volunteer for other organizations?	NoYes Invalid Input
If you answered yes, please indicate which ones?	Invalid Input
Have you ever served on a promotions and/or special events committee?	NoYes Invalid Input
Have you ever been a committee chair?	NoYes Invalid Input
Have you ever served on a board of directors?	NoYes Invalid Input
If you answered yes, please indicate which organization/company?	Invalid Input
Availability	Weekends onlyWeekdays onlyWeekend and/or weekdays occasionallyDaytime onlyEvening onlyDaytime and/or evening occasionally Invalid Input
I am interested in the following (check all that apply)	Working in the Easter Seals office on clerical projects occasionallyServing on the Taste of the Oaks committeeServing on the Golf Scramble CommitteeHelping with other special eventsExtra “hands” for tidying treatment rooms and therapy garden areaOther Invalid Input
If you answered other, please describe your area of interest	Invalid Input
Message	Please let us know your message.
Please validate by typing the letters to the right	Invalid Input