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* 1. Which of the following best describes your current occupation or area of professional knowledge? Select only one. If self-employed, please select the area most closely identified with your business.

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* 2. The following list shows the types of activities suitable for EC3 volunteers. Please select all those that you might be able to do (depending on time and circumstances).

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* 3. What times of the day or week are you likely to have available for EC3 service, either at EC3 or at home? (Check all that apply.)

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* 4. Please enter your name, email, and cell phone so we can contact you for specific needs.

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* 5. If you have any comments or special instructions, feel free to enter them here.

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