* 1. Name?

* 2. Phone?

* 3. Email?

* 4. Town you reside in?

* 5. Place of Employment?

* 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?

* 7. Previous volunteer experience (if any)

* 8. Days/Times Available?

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

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

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

* 12. How did you hear about Building Hope

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