Retiree Connection Skills Survey
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Personal Information

 
If you are interested in volunteering through the Retiree Connection, please fill out the following form. The information you provide will help us find the best volunteer placement to match your needs and interests. Any demographic information that you provide will only be used for funding purposes by Serve Yavapai.  If you have any questions, please contact Nicole Stanton at 928-848-7870 or retireeconnection@serveyavapai.org.  

1. Please provide the following contact information:

2. How do you prefer to communicate with us?

3. How did you find out about the Retiree Connection?

4. When were you born?

5. What do you consider your race and ethnicity to be?

6. What gender do you identify with?

7. What is the highest level of education that have you completed?

8. Please share a little bit about your background that you feel is relevant: