Registrant Information

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* 1. Contact Information

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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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