Volunteer Training - February 23, 2013 Survey

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1. The February 23 Volunteer Training will be 10 am - 3 pm at the Rutgers Cooperative Extension of Burlington County (2 Academy Drive, Westampton, NJ) and is open to ages 5+. We will provide:
A "Jr. SOMK"* session for ages 5-12.
An Adult/Teen Volunteer Training for adults 13+.
Attendance is free! Coffee/Beverage (no breakfast) and lunch are included!

*NOTE: Priority for the Jr. SOMK (Speak Out for Military Kids) Training will be given to those who have Parent(s)/Guardian(s) attending the Adult/Teen Training. Please register those for the Jr. SOMK track with your registration.

Please contact Elam@njaes.rutgers.edu for information, and look for a confirmation via your choice (Question #5).

Please provide the following information:

The February 23 Volunteer Training will be 10 am - 3 pm at the Rutgers Cooperative Extension of Burlington County (2 Academy Drive, Westampton, NJ) and is open to ages 5+. We will provide: A "Jr. SOMK"* session for ages 5-12. An Adult/Teen Volunteer Training for adults 13+. Attendance is free! Coffee/Beverage (no breakfast) and lunch are included! *NOTE: Priority for the Jr. SOMK (Speak Out for Military Kids) Training will be given to those who have Parent(s)/Guardian(s) attending the Adult/Teen Training. Please register those for the Jr. SOMK track with your registration. Please contact Elam@njaes.rutgers.edu for information, and look for a confirmation via your choice (Question #5). Please provide the following information: Full Name:
Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

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2. Please list the names of all Adult/Teen Participants (13+) in your family that will be attending this training. Write None if there aren't any.

Please list the names of all Adult/Teen Participants (13+) in your family that will be attending this training. Write None if there aren't any.

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3. Please list the names of all Jr. SOMK (5-12) participants in your family that will be attending this training. Write None if there aren't any.

Please list the names of all Jr. SOMK (5-12) participants in your family that will be attending this training. Write None if there aren't any.

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4. How would you most like to receive confirmation of your participation, and additional information about this training?

How would you most like to receive confirmation of your participation, and additional information about this training? E-mail

Phone

Mail

Other (Please Specify)

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5. Which organization(s) do you represent?

Which organization(s) do you represent? Military

4-H

Other (please specify)

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6. If military, which branch do you represent?

If military, which branch do you represent? Not Applicable

Army

Army Reserve

Army National Guard

Air Force

Air Force Reserve

Air National Guard

Navy

Navy Reserve

Marine Corps

Marine Corps Reserve

Coast Guard

Cost Guard Reserve

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7. Will you be attending the training all day?

Will you be attending the training all day? Yes

No (If selected, please contact elam@njaes.rutgers.edu for clarification.)

8. How did you hear about this training?

How did you hear about this training?

9. Do you have any dietary restrictions?

Do you have any dietary restrictions?

10. What topics would you most like to learn about or discuss at this training?

What topics would you most like to learn about or discuss at this training?

11. Are there any questions you would like to be addressed at this training?

Are there any questions you would like to be addressed at this training?

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Volunteer Training - February 23, 2013
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