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* 1. First and Last Name

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* 2. Email

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* 3. Phone Number

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* 4. Please enter your birthdate

Date

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* 5. Which activities are you interested in? Check all that apply....

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* 6. We require a minimum of 2 shifts per month. Do you agree to maintain at least 2 shifts per month to keep your status active?

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* 7. Describe your work and volunteer experience...

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* 8. We welcome volunteers from all backgrounds. Certain roles require disclosure of past criminal convictions so we can make appropriate role assignments. If you have any convictions, please list them below.

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