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Volunteer Application
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*
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Address
*
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Address Line 2
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Previous Volunteer Experience:
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(such as education, general interests/hobbies, languages spoken, etc)
Availability and Volunteer Assignment Preferences
*
Mornings (Mon-Fri)
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Evenings (Mon-Fri)
Weekends
Once A Week
More Than Once A Week
One Time Only
As Needed
Do You Have a Valid Drivers License?
*
Yes
No
Have You Ever Been Convicted For Violation Of Any Laws, Traffic Or Otherwise?
*
Yes
No
If Yes, Please explain
Do You Have Any Physical Condition that May Limit Your Activities?
*
Yes
No
If Yes, Please explain
Who To Notify In Case Of An Emergency? (Name and #)
References (Name, Relationship, Phone)
Please list three persons we may call who are NOT family, one of whom may be your religious or spiritual leader, teacher, employer or relationship other than a personal friend.
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