Make-A-Wish® Illinois Chapter

Your Name:

Your E-mail Address:

Street Address:

City:

State:

Zip Code:

Phone Number:

Do you have any special skills, education, background that could be beneficial to the Foundation?

Check here if you have a background in the following:
   Marketing/Graphic Design
   Technology Systems/Web Development
   Daytime Availability/Office Skills
Are you fluent in any foreign language (Spanish, Polish, etc.)?
   Spanish
   Polish
   Other (please specify)

I am related to a wish child or I am a former wish child.

Please enter the text shown in the picture: