2010 Volunteer Registration

 

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1. Name:

Name:   First Name
Last Name

2. Title:

Title:

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3. Federal Agency / Department:

Select from list.

Access BoardAdministrative Office of U.S. CourtsAdvisory Council on Historic PreservationAfrican Development FoundationAgency for International DevelopmentAmerican Battle Monuments CommissionAppalachian Regional CommissionArchitect of the CapitolArmed Forces Retirement HomeBroadcasting Board of GovernorsCentral Intelligence AgencyChemical Safety Board & Hazard Invstgtn BoardComm for Prchs frm Ppl Blind or Svrly DsbldCommission of Fine ArtsCommission on Civil RightsCommodity Futures Trading CommissionCongressional Budget OfficeCongressional Office of ComplianceConsumer Product Safety CommissionCorporation for Nat'l & Community ServiceCSOSADefense Nuclear Facilities Safety BoardDepartment of AgricultureDepartment of CommerceDepartment of DefenseDepartment of EducationDepartment of EnergyDepartment of Homeland SecurityDepartment of Housing & Urban DevelopmentDepartment of JusticeDepartment of LaborDepartment of StateDepartment of the InteriorDepartment of the TreasuryDepartment of TransportationDepartment of Veterans AffairsEnvironmental Protection AgencyEqual Employment Opportunity CommissionExecutive Office of the PresidentExport-Import BankFarm Credit AdministrationFederal Communications CommissionFederal Deposit Insurance CorporationFederal Election CommissionFederal Energy Regulatory CommissionFederal Housing Finance Agency FHFB-OFHEOFederal Judicial CenterFederal Labor Relations AuthorityFederal Maritime CommissionFederal Mediation & Conciliation ServiceFederal Mine Safety & Health Review CommissionFederal Public DefenderFederal Reserve BoardFederal Retirement Thrift Investment BoardFederal Trade CommissionGeneral Services AdministrationGoddard Space Flight CenterGovernment Accountability OfficeGovernment Printing OfficeHarry S. Truman Scholarship FoundationHealth and Human ServicesHolocaust Memorial CouncilHouse of RepresentativesInstitute of Museum and Library ServicesInstitute of PeaceInter-American FoundationInternational Trade CommissionJapan/U.S. Friendship CommissionJohn F. Kennedy CenterJudicial Panel on Multi-District LitigationLibrary of CongressMarine Mammal CommissionMedicare Payment Advisory CommissionMerit Systems Protection BoardMillennium Challenge CorpNASANational Archives and Records AdminNational Capital Planning CommissionNational Council on DisabilityNational Credit Union AdministrationNational Endowment for the ArtsNational Endowment for the HumanitiesNational Gallery of ArtNational Indian Gaming CommissionNational Labor Relations BoardNational Mediation BoardNational Science FoundationNational Transportation Safety BoardNuclear Regulatory CommissionOccupational Safety and Health Review CommissionOffice of Government EthicsOffice of Inspector General PostalOffice of Personnel ManagementOffice of Special CounselOverseas Private Investment CorporationPeace CorpsPension Benefit Guaranty CorpPostal Regulatory CommissionPublic Defender ServiceRailroad Retirement BoardSecurities and Exchange CommissionSelective Service SystemSenateSmall Business AdministrationSmithsonian InstitutionSocial Security AdministrationTrade and Development AgencyU.S. Capitol PoliceU.S. Court of Appeals for DC CircuitU.S. Court of Appeals for Federal CircuitU.S. Court of Appeals for Veterans ClaimsU.S. Court of Federal ClaimsU.S. Dist Ct for Dist of DCU.S. Dist Ct for Eastern Dist of VAU.S. Postal ServiceU.S. Prob/Pretrial Svces for Eastern Dist of VAU.S. Sentencing CommissionU.S. Supreme CourtU.S. Tax CourtUSDA Graduate SchoolVA Medical CenterVA Regional OfficeVietnam Education Foundation Federal Agency / Department:   Select from list.

Other (please specify)

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4. e-Mail Address:

e-Mail Address:

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5. Work phone number (with extension):

Work phone number (with extension):

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6. For the 2011 campaign, what is your role with CFCNCA?

For the 2011 campaign, what is your role with CFCNCA?   Campaign Committee Member Campaign Manager Campaign or Unit Coordinator Deputy Campaign Manager Keyworker Loaned Executive

Other (please specify)

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7. Choose the option that best reflects the number of years that you have served as a volunteer for CFCNCA.

Choose the option that best reflects the number of years that you have served as a volunteer for CFCNCA.   First-time 1-4 5-10 10+