1 2 Complete First Name: * Last Name: * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027 Email Telephone Number * State Photo ID * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif psd pdf doc. Street Address * City/Town: * State: * Zip Code * Interested in Volunteering? Select all areas of interest that apply (please note that a background check may be required for certain volunteer opportunities. Once you submit your registration, a staff member will reach out to coordinate any opportunities. Staffing a Warming or Cooling Shelter/Center Shoveling snow for the elderly or those in need in East Providence Food Pantries Senior Center Community Garden Neighborhood Cleanups
