Volunteer Engagement Survey

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* 1. What is your full name (First, Last)

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* 2. What is your preferred mailing address?

(Home):

(Business):

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* 3. Your preferred email address:

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* 4. Please list your preferred contact number:

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* 5. From the list below, what are you most passionate about?

Mental Health/Counseling

Foster Care

Youth Homelessness

Adoption

LGBTQ Support and Programming

Other (please specify)

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* 6. Do you have a particular skill that can be used as a skill-based volunteer event?

Tutor (GED & SAT)

Activity Coordinator

Meal Preparation

Beautification / Landscaping

Other (please specify)

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* 7. Are you currently employed?

Yes, in the private sector

Yes, in the public sector

Yes, I would prefer not to disclose

No

Other (please specify)