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Name* |
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Street Address* |
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City ST ZIP Code* |
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Work Phone |
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E-Mail Address* |
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During which hours are you available for volunteer assignments? |
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Tell us in which areas you are interested in volunteering |
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Special Skills or Qualifications |
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Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. |
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Previous Volunteer Experience |
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Summarize your previous volunteer experience |
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Person to Notify in Case of Emergency |
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Name* |
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Street Address |
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City ST ZIP Code |
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Home Phone* |
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Work Phone |
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E-Mail Address |
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By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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Name (printed) |
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Signature |
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Date |
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It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
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Thank you for completing this application form and for your interest in volunteering with us. |
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