1. Basic Contact Information

Please fill out carefully and accurately so that KFAI can reach you!

* 1. Today's Date:

Date:
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* 2. Your Name (First and Last)

* 3. Phone Number and Email Address

* 4. Home Address (Please Include City, State and Zip)

* 5. Reference Contact (Name and Phone Number):
Please provide a reference who can attest to your ability to be a good volunteer for KFAI. This can be anyone, but preferably someone with whom you have worked.

* 6. Emergency Contact (Name and Phone Number):

* 7. What interests you about volunteering for KFAI, and what new skills do you hope to develop while volunteering for KFAI?

* 8. How did you hear about volunteering for KFAI?

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