Registrant Information

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1. Contact Information (Required.)

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2. AmeriCorps Program:

 
Please select your AmeriCorps Program from the drop-down list:
White Pine Programs
VISTA
AmeriCorps Alum

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3. AmeriCorps Program Director - please enter the name of your AmeriCorps program's Program Director

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4. If you require any accommodations to fully participate in this event, please list them here or contact: jamie.mcfaul@maine.gov

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5. Do you plan on participating in the service project at Bond Brook?

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