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* 1. Name

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* 2. Contact information

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* 3. Date of birth ( if you are under the age of 18 your parents need to sign our consent form. Please email us at hola@migentemipueblo.com)

Date

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* 4. In a few words tell us what drew you to Mi Gente Mi Pueblo.

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* 5. What times are you available?

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* 6. What department are you interested in?

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* 7. Are you in high school or college?

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* 8. College/University/High School Name

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* 9. If you are in high school, are you seeking Bright Future's credit?

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* 10. Are you a member of another volunteer program that will require our signature?

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* 11. If so, what is the name of that organization?

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