National Veterans Wheelchair Games

5000 W. National Avenue \~ Milwaukee, WI 53295

Phone (414) 389-3999 \~ Fax: (414) 389-3950

+-----------------+----+---------+---+-----------+---+---------+----------+
| ![](me          |    |         |   |           |   |         |          |
| dia/image1.png) |    |         |   |           |   |         |          |
| {width="0.45902 |    |         |   |           |   |         |          |
| 777777777776in" |    |         |   |           |   |         |          |
| height="0.27013 |    |         |   |           |   |         |          |
| 88888888889in"} |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| ## APP          |    |         |   |           |   |         |          |
| LICATION FOR VO |    |         |   |           |   |         |          |
| LUNTARY SERVICE |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| The Paperwork   |    |         |   |           |   |         |          |
| Reduction Act   |    |         |   |           |   |         |          |
| of 1995         |    |         |   |           |   |         |          |
| requires us to  |    |         |   |           |   |         |          |
| notify you that |    |         |   |           |   |         |          |
| this            |    |         |   |           |   |         |          |
| information     |    |         |   |           |   |         |          |
| collection is   |    |         |   |           |   |         |          |
| in accordance   |    |         |   |           |   |         |          |
| with the        |    |         |   |           |   |         |          |
| clearance       |    |         |   |           |   |         |          |
| requirements of |    |         |   |           |   |         |          |
| section 3507 of |    |         |   |           |   |         |          |
| the Paperwork   |    |         |   |           |   |         |          |
| Reduction Act   |    |         |   |           |   |         |          |
| of 1995. We may |    |         |   |           |   |         |          |
| not conduct or  |    |         |   |           |   |         |          |
| sponsor, and    |    |         |   |           |   |         |          |
| you are not     |    |         |   |           |   |         |          |
| required to     |    |         |   |           |   |         |          |
| respond to a    |    |         |   |           |   |         |          |
| collect of      |    |         |   |           |   |         |          |
| information     |    |         |   |           |   |         |          |
| unless it       |    |         |   |           |   |         |          |
| displays a      |    |         |   |           |   |         |          |
| valid OMB       |    |         |   |           |   |         |          |
| number. We      |    |         |   |           |   |         |          |
| anticipate that |    |         |   |           |   |         |          |
| the time        |    |         |   |           |   |         |          |
| expended by all |    |         |   |           |   |         |          |
| individuals who |    |         |   |           |   |         |          |
| must complete   |    |         |   |           |   |         |          |
| this form will  |    |         |   |           |   |         |          |
| average 15      |    |         |   |           |   |         |          |
| minutes. This   |    |         |   |           |   |         |          |
| includes the    |    |         |   |           |   |         |          |
| time it will    |    |         |   |           |   |         |          |
| take to read    |    |         |   |           |   |         |          |
| instructions,   |    |         |   |           |   |         |          |
| gather the      |    |         |   |           |   |         |          |
| necessary facts |    |         |   |           |   |         |          |
| and fill out    |    |         |   |           |   |         |          |
| the forms.      |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| PRIVACY ACT     |    |         |   |           |   |         |          |
| INFORMATION:    |    |         |   |           |   |         |          |
| The information |    |         |   |           |   |         |          |
| requested on    |    |         |   |           |   |         |          |
| this form is    |    |         |   |           |   |         |          |
| solicited under |    |         |   |           |   |         |          |
| the authority   |    |         |   |           |   |         |          |
| of 38 U.S.C.    |    |         |   |           |   |         |          |
| 512 and will be |    |         |   |           |   |         |          |
| used in the     |    |         |   |           |   |         |          |
| selection and   |    |         |   |           |   |         |          |
| placement of    |    |         |   |           |   |         |          |
| potential       |    |         |   |           |   |         |          |
| volunteers in   |    |         |   |           |   |         |          |
| the VA          |    |         |   |           |   |         |          |
| Voluntary       |    |         |   |           |   |         |          |
| Service         |    |         |   |           |   |         |          |
| Program. The    |    |         |   |           |   |         |          |
| information you |    |         |   |           |   |         |          |
| supply may be   |    |         |   |           |   |         |          |
| disclosed       |    |         |   |           |   |         |          |
| outside the VA  |    |         |   |           |   |         |          |
| as permitted by |    |         |   |           |   |         |          |
| law; possible   |    |         |   |           |   |         |          |
| disclosures     |    |         |   |           |   |         |          |
| include those   |    |         |   |           |   |         |          |
| described in    |    |         |   |           |   |         |          |
| the "routine    |    |         |   |           |   |         |          |
| uses"           |    |         |   |           |   |         |          |
| identified in   |    |         |   |           |   |         |          |
| the VA system   |    |         |   |           |   |         |          |
| of records 57VA |    |         |   |           |   |         |          |
| 125 Voluntary   |    |         |   |           |   |         |          |
| Service         |    |         |   |           |   |         |          |
| Records-VA,     |    |         |   |           |   |         |          |
| published in    |    |         |   |           |   |         |          |
| the Federal     |    |         |   |           |   |         |          |
| Register in     |    |         |   |           |   |         |          |
| accordance with |    |         |   |           |   |         |          |
| the Privacy     |    |         |   |           |   |         |          |
| Action of 1974. |    |         |   |           |   |         |          |
| The routine     |    |         |   |           |   |         |          |
| uses include    |    |         |   |           |   |         |          |
| disclosures: In |    |         |   |           |   |         |          |
| response to     |    |         |   |           |   |         |          |
| court           |    |         |   |           |   |         |          |
| subpoenas, to   |    |         |   |           |   |         |          |
| report apparent |    |         |   |           |   |         |          |
| law violations  |    |         |   |           |   |         |          |
| to other        |    |         |   |           |   |         |          |
| Federal, State  |    |         |   |           |   |         |          |
| or local        |    |         |   |           |   |         |          |
| agencies        |    |         |   |           |   |         |          |
| charged with    |    |         |   |           |   |         |          |
| law enforcement |    |         |   |           |   |         |          |
| re              |    |         |   |           |   |         |          |
| sponsibilities, |    |         |   |           |   |         |          |
| to service      |    |         |   |           |   |         |          |
| organizations,  |    |         |   |           |   |         |          |
| employers and   |    |         |   |           |   |         |          |
| Unemployment    |    |         |   |           |   |         |          |
| Compensation    |    |         |   |           |   |         |          |
| Offices to      |    |         |   |           |   |         |          |
| confirm         |    |         |   |           |   |         |          |
| volunteer       |    |         |   |           |   |         |          |
| service, and to |    |         |   |           |   |         |          |
| congressional   |    |         |   |           |   |         |          |
| offices at the  |    |         |   |           |   |         |          |
| request of the  |    |         |   |           |   |         |          |
| volunteer.      |    |         |   |           |   |         |          |
| Disclosure of   |    |         |   |           |   |         |          |
| the information |    |         |   |           |   |         |          |
| is voluntary,   |    |         |   |           |   |         |          |
| however,        |    |         |   |           |   |         |          |
| failure to      |    |         |   |           |   |         |          |
| furnish the     |    |         |   |           |   |         |          |
| information     |    |         |   |           |   |         |          |
| will hamper our |    |         |   |           |   |         |          |
| ability to      |    |         |   |           |   |         |          |
| arrange the     |    |         |   |           |   |         |          |
| most            |    |         |   |           |   |         |          |
| satisfactory    |    |         |   |           |   |         |          |
| assignment for  |    |         |   |           |   |         |          |
| you and the     |    |         |   |           |   |         |          |
| Department of   |    |         |   |           |   |         |          |
| Veterans        |    |         |   |           |   |         |          |
| Affairs.        |    |         |   |           |   |         |          |
| Disclosure of   |    |         |   |           |   |         |          |
| the Social      |    |         |   |           |   |         |          |
| Security number |    |         |   |           |   |         |          |
| is voluntary.   |    |         |   |           |   |         |          |
| The number will |    |         |   |           |   |         |          |
| be used in the  |    |         |   |           |   |         |          |
| identification  |    |         |   |           |   |         |          |
| of records.     |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| NAME (Last,     |    |         | A |           |   |         | DATE     |
| First, Middle)  |    |         | D |           |   |         |          |
|                 |    |         | D |           |   |         |          |
|                 |    |         | R |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | ( |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | t |           |   |         |          |
|                 |    |         | r |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | t |           |   |         |          |
|                 |    |         | , |           |   |         |          |
|                 |    |         | C |           |   |         |          |
|                 |    |         | i |           |   |         |          |
|                 |    |         | t |           |   |         |          |
|                 |    |         | y |           |   |         |          |
|                 |    |         | , |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | t |           |   |         |          |
|                 |    |         | a |           |   |         |          |
|                 |    |         | t |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | a |           |   |         |          |
|                 |    |         | n |           |   |         |          |
|                 |    |         | d |           |   |         |          |
|                 |    |         | Z |           |   |         |          |
|                 |    |         | i |           |   |         |          |
|                 |    |         | p |           |   |         |          |
|                 |    |         | C |           |   |         |          |
|                 |    |         | o |           |   |         |          |
|                 |    |         | d |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | ) |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
|                 |    |         |   |           |   |         | DATE OF  |
|                 |    |         |   |           |   |         | BIRTH    |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| TELEPHONE       | SO |         |   |           |   |         | SEX      |
| NUMBER          | CI |         |   |           |   |         |          |
|                 | AL |         |   |           |   |         | M F      |
| ( )             | SE |         |   |           |   |         |          |
|                 | CU |         |   |           |   |         |          |
|                 | RI |         |   |           |   |         |          |
|                 | TY |         |   |           |   |         |          |
|                 | NU |         |   |           |   |         |          |
|                 | MB |         |   |           |   |         |          |
|                 | ER |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |  - |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |  - |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| ORGANIZATION    |    |         | A |           |   |         |          |
| MEMBERSHIP(S)   |    |         | S |           |   |         |          |
| (Unit, Post,    |    |         | S |           |   |         |          |
| Chapter, if     |    |         | I |           |   |         |          |
| affiliated)     |    |         | G |           |   |         |          |
|                 |    |         | N |           |   |         |          |
|                 |    |         | M |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | N |           |   |         |          |
|                 |    |         | T |           |   |         |          |
|                 |    |         | P |           |   |         |          |
|                 |    |         | R |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | F |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | R |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | N |           |   |         |          |
|                 |    |         | C |           |   |         |          |
|                 |    |         | E |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | ( |           |   |         |          |
|                 |    |         | S |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | e |           |   |         |          |
|                 |    |         | B |           |   |         |          |
|                 |    |         | a |           |   |         |          |
|                 |    |         | c |           |   |         |          |
|                 |    |         | k |           |   |         |          |
|                 |    |         | ) |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         | 1 |           |   |         |          |
|                 |    |         | \ |           |   |         |          |
|                 |    |         | . |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         | 2 |           |   |         |          |
|                 |    |         | . |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         | 3 |           |   |         |          |
|                 |    |         | . |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| EXPERIENCE AND  |    |         |   |           |   |         |          |
| TRAINING        |    |         |   |           |   |         |          |
| (Special        |    |         |   |           |   |         |          |
| sk              |    |         |   |           |   |         |          |
| ills/Abilities) |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| RESTRICTIONS OR |    |         |   |           |   | AVAIL   |          |
| LIMITATIONS OF  |    |         |   |           |   | ABILITY |          |
| SERVICE (Health |    |         |   |           |   | (Days   |          |
| concerns,       |    |         |   |           |   | and     |          |
| medications,    |    |         |   |           |   | Time )  |          |
| allergies,      |    |         |   |           |   | (See    |          |
| etc.)           |    |         |   |           |   | Back)   |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| IN CASE OF      |    |         |   |           |   |         |          |
| EMERGENCY       |    |         |   |           |   |         |          |
| PLEASE CONTACT  |    |         |   |           |   |         |          |
| (Name,          |    |         |   |           |   |         |          |
| Relationship,   |    |         |   |           |   |         |          |
| Phone Number)   |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| **Monetary      |    |         |   |           |   |         |          |
| Waiver**: I     |    |         |   |           |   |         |          |
| hereby waive    |    |         |   |           |   |         |          |
| all claims to   |    |         |   |           |   |         |          |
| monetary        |    |         |   |           |   |         |          |
| benefits for    |    |         |   |           |   |         |          |
| services        |    |         |   |           |   |         |          |
| rendered as a   |    |         |   |           |   |         |          |
| volunteer       |    |         |   |           |   |         |          |
| worker on a     |    |         |   |           |   |         |          |
| "without        |    |         |   |           |   |         |          |
| compensation    |    |         |   |           |   |         |          |
| basis" for an   |    |         |   |           |   |         |          |
| indefinite      |    |         |   |           |   |         |          |
| period. I       |    |         |   |           |   |         |          |
| understand that |    |         |   |           |   |         |          |
| this waiver     |    |         |   |           |   |         |          |
| applies only to |    |         |   |           |   |         |          |
| remuneration    |    |         |   |           |   |         |          |
| (compensation)  |    |         |   |           |   |         |          |
| for specific    |    |         |   |           |   |         |          |
| services        |    |         |   |           |   |         |          |
| rendered in the |    |         |   |           |   |         |          |
| VA Voluntary    |    |         |   |           |   |         |          |
| Service (VAVS   |    |         |   |           |   |         |          |
| Program and is  |    |         |   |           |   |         |          |
| not related to  |    |         |   |           |   |         |          |
| any other VA    |    |         |   |           |   |         |          |
| services or     |    |         |   |           |   |         |          |
| benefits to     |    |         |   |           |   |         |          |
| which I may be  |    |         |   |           |   |         |          |
| entitled.       |    |         |   |           |   |         |          |
| *(NOTE: VA has  |    |         |   |           |   |         |          |
| entered into    |    |         |   |           |   |         |          |
| this agreement  |    |         |   |           |   |         |          |
| by the          |    |         |   |           |   |         |          |
| authority of 38 |    |         |   |           |   |         |          |
| U.S.C., Section |    |         |   |           |   |         |          |
| 512. This       |    |         |   |           |   |         |          |
| agreement may   |    |         |   |           |   |         |          |
| be canceled by  |    |         |   |           |   |         |          |
| either party    |    |         |   |           |   |         |          |
| upon written    |    |         |   |           |   |         |          |
| notice.)*       |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\           |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| [     ]{.underl |    |         |   |           |   |         |          |
| ine}\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
| Volunteer's     |    |         |   |           |   |         |          |
| Signature Date  |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| **STUDENT       |    |         |   |           |   |         |          |
| VOLUNTEER       |    |         |   |           |   |         |          |
| PARENTAL        |    |         |   |           |   |         |          |
| APPROVAL**      |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| [               |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|   ]{.underline} |    |         |   |           |   |         |          |
| has my approval |    |         |   |           |   |         |          |
| to work as a    |    |         |   |           |   |         |          |
| volunteer       |    |         |   |           |   |         |          |
| within the      |    |         |   |           |   |         |          |
| Department of   |    |         |   |           |   |         |          |
| Veterans        |    |         |   |           |   |         |          |
| Affairs and my  |    |         |   |           |   |         |          |
| permission to   |    |         |   |           |   |         |          |
| receive         |    |         |   |           |   |         |          |
| diagnoses or    |    |         |   |           |   |         |          |
| emergency       |    |         |   |           |   |         |          |
| medical         |    |         |   |           |   |         |          |
| treatment if    |    |         |   |           |   |         |          |
| injured while   |    |         |   |           |   |         |          |
| volunteering.   |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| \_\_\           |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
| [     ]{.underl |    |         |   |           |   |         |          |
| ine}\_\_\_\_\_\ |    |         |   |           |   |         |          |
| _\_\_\_\_\_\_\_ |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
| Parent/Guardian |    |         |   |           |   |         |          |
| Signature Date  |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| **OFFICE USE    |    |         |   |           |   |         |          |
| ONLY**          |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| 1\. SUPERVISOR: |    |         |   | 2\.       |   |         |          |
|                 |    |         |   | S         |   |         |          |
|                 |    |         |   | UPERVISOR |   |         |          |
|                 |    |         |   | PHONE     |   |         |          |
|                 |    |         |   | NUMBER:   |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| 3\.             |    |         |   | 4\.       |   |         |          |
| ORIENTATIONS:   |    |         |   | UNIFORM   |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
| **COMMENTS**    |    | **NAME  |   |           | * |         |          |
|                 |    | AND     |   |           | * |         |          |
|                 |    | TITLE   |   |           | D |         |          |
|                 |    | OF      |   |           | A |         |          |
|                 |    | INTERV  |   |           | T |         |          |
|                 |    | IEWER** |   |           | E |         |          |
|                 |    |         |   |           | * |         |          |
|                 |    |         |   |           | * |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
|                 |    |         |   |           |   |         |          |
+-----------------+----+---------+---+-----------+---+---------+----------+

VA Form **10-7055** EXISTING STOCK OF VA FORM 10-7055, APR 1994,

FEB 1999 WILL BE USED

<table>
<colgroup>
<col style="width: 3%" />
<col style="width: 22%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 5%" />
<col style="width: 9%" />
<col style="width: 8%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="7"><img src="media/image2.jpeg"
style="width:1.25069in;height:0.98403in" /></td>
<td colspan="8"><p>National Veterans Wheelchair Games</p>
<p>5000 W. National Avenue ~ Milwaukee, WI 53295</p>
<p>Phone (414) 389-3999 ~ Fax: (414) 382-5041</p>
<h3 id="denise.jashinskymed.va.gov"><a
href="mailto:Denise.Jashinsky@med.va.gov">Denise.Jashinsky@med.va.gov</a></h3></td>
</tr>
<tr class="even">
<td colspan="15"><h3 id="section"></h3>
<h3
id="sign-up-early-volunteer-positions-are-a-first-come-first-serve-basis.">SIGN
UP EARLY – Volunteer Positions are a first come first serve basis.</h3>
<p>Please Return Applications NO LATER THAN March 31, 2007</p></td>
</tr>
<tr class="odd">
<td colspan="15"><h3 id="section-1"> </h3>
<h3 id="volunteer-e-mail"> Volunteer E-Mail:
                                                            </h3></td>
</tr>
<tr class="even">
<td colspan="15"><h3 id="t-shirt-size-s-m-l-xl-xxl-xxxl">T-Shirt size S
M L XL XXL XXXL</h3></td>
</tr>
<tr class="odd">
<td colspan="15"><p><strong>VOLUNTEER JOB OPPORTUNITIES</strong></p>
<p><strong>Please select top 5 choices with 1 being your first choice, 2
your second choice, 3 your 3<sup>rd</sup> choice and so
on.</strong></p></td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Air Guns</td>
<td> </td>
<td colspan="5">Field</td>
<td colspan="2"> </td>
<td colspan="3">Slalom</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Archery</td>
<td> </td>
<td colspan="5">Food Service</td>
<td colspan="2"> </td>
<td colspan="3">Softball</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Awards</td>
<td> </td>
<td colspan="5">Hand cycle</td>
<td colspan="2"> </td>
<td colspan="3">Special Events</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Baggage Handlers</td>
<td> </td>
<td colspan="5">Hospitality/Information Services</td>
<td colspan="2"> </td>
<td colspan="3">Sponsor Dinner</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Basketball</td>
<td> </td>
<td colspan="5">Kid’s Day</td>
<td colspan="2"> </td>
<td colspan="3">Swimming</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Block Party</td>
<td> </td>
<td colspan="5">Medical Support</td>
<td colspan="2"> </td>
<td colspan="3">Table Tennis</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Bowling</td>
<td> </td>
<td colspan="5">Merchandise</td>
<td colspan="2"> </td>
<td colspan="3">Track</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Closing Banquet</td>
<td> </td>
<td colspan="5">Motor Rally</td>
<td colspan="2"> </td>
<td colspan="3">Transportation</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Command Center</td>
<td> </td>
<td colspan="5">Opening Ceremonies</td>
<td colspan="2"> </td>
<td colspan="3">Venue Logistics</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Computer Support</td>
<td> </td>
<td colspan="5">Photography</td>
<td colspan="2"> </td>
<td colspan="3">Volunteer Services</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Construction/Engineering</td>
<td> </td>
<td colspan="5">Power Soccer</td>
<td colspan="2"> </td>
<td colspan="3">Warehouse Logistics</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Data Management</td>
<td> </td>
<td colspan="5">Public Relations</td>
<td colspan="2"> </td>
<td colspan="3">Water/Towels/Ice</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Entertainment</td>
<td> </td>
<td colspan="5">Quad Rugby</td>
<td colspan="2"> </td>
<td colspan="3">Weightlifting</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Expo</td>
<td> </td>
<td colspan="5">Registration</td>
<td colspan="2"> </td>
<td colspan="3">Welcome Reception</td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3">Nine Ball Tournament</td>
<td> </td>
<td colspan="5">Security</td>
<td colspan="2"> </td>
<td colspan="3">Trap Shooting</td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3">Traffic Flow – Midwest Center</td>
<td> </td>
<td colspan="5"></td>
<td colspan="2"> </td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td> </td>
<td colspan="3"></td>
<td> </td>
<td colspan="5"></td>
<td colspan="2"> </td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td> </td>
<td colspan="3"></td>
<td> </td>
<td colspan="5"></td>
<td colspan="2"> </td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="15"></td>
</tr>
<tr class="odd">
<td colspan="15"><strong>Please select when you are available to
volunteer</strong></td>
</tr>
<tr class="even">
<td colspan="15"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td><p><strong>SAT</strong></p>
<p><strong>June 16</strong></p></td>
<td colspan="3"><strong>SUN June 17</strong></td>
<td colspan="2"><p><strong>MON</strong></p>
<p><strong>June 18</strong></p></td>
<td><p><strong>TUES</strong></p>
<p><strong>June 19</strong></p></td>
<td colspan="2"><p><strong>WED</strong></p>
<p><strong>June 20</strong></p></td>
<td colspan="2"><p><strong>THURS</strong></p>
<p><strong>June 21</strong></p></td>
<td><p><strong>FRI</strong></p>
<p><strong>June 22</strong></p></td>
<td><p><strong>SAT</strong></p>
<p><strong>June 23</strong></p></td>
</tr>
<tr class="even">
<td colspan="2">Morning</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="2">Afternoon</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="even">
<td colspan="2">Evening</td>
<td>     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td>     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td>     </td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="15"></td>
</tr>
<tr class="even">
<td colspan="15"><p><strong>Thank you in advance for your support of
the</strong></p>
<p><strong>2007 National Veterans Wheelchair Games</strong></p></td>
</tr>
<tr class="odd">
<td colspan="15"><p><strong>Please mail or fax applications by March 31,
2007 to</strong></p>
<p><strong>Voluntary Service (135)</strong></p>
<p>5000 W. National Avenue ~ Milwaukee, WI 53295 ~ Fax: (414)
389-3950</p>
<p><strong>For more information, contact Denise Jashinsky at (414)
389-3999</strong></p></td>
</tr>
</tbody>
</table>