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* 1. Name?

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* 2. Phone?

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* 3. Email?

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* 4. Town you reside in?

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* 5. Place of Employment?

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* 6. Skills and qualifications can be acquired through employment, previous volunteer work, or other activities such as hobbies or sports. What skills or qualifications do you have as a volunteer that you would like us to know about?

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* 7. Previous volunteer experience (if any)

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* 8. Days/Times Available?

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* 9. General Area of interest in volunteering: (check all that apply)

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* 10. Would you like to join the Building Hope monthly newsletter: yes/no?

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* 11. Anything additional things you would like us to know about?

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* 12. How did you hear about Building Hope

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