Volunteer Form

The UMJC is sending a team to areas affected by Harvey. Please fill out this form if you are interested. If you have any questions, please contact Stephanie Escalante at stephaniee@umjc.org.

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* 1. Volunteer's Full Name

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* 2. E-mail Address

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* 3. Cellphone Number

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* 4. Which congregation do you attend?

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* 5. Are you prepared to make your own travel arrangements to assist the effort in Houston?

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* 6. When and for how long are you available to volunteer?

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* 7. Are you able to provide legal services? If so, what kind? Please check all that apply.

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* 8. Are you able to provide demolition and repair assistance? If so, what kind? Please check all that apply.

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* 9. Are you able to provide Crisis Counseling? If so, what type? Please check all that applies.

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* 10. Do you operate or own any of the following?:

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