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* 1. Please give your details

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* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 3. If applicable, would your partner want to be involved in the work of the organisation?

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* 4. Do you currently work/volunteer with any charities?

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* 5. Have you ever worked/volunteered with any charities?

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* 6. What is your current occupation

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* 7. Do you have any qualifications/skills that could be useful to our organisation? e.g. Graphic Design, Human Resources, Administration, IT, Legal, Medical etc...

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* 8. How many hours per week could you volunteer?

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* 9. Have you personally experienced baby loss?

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* 10. Have you utilised the organisations services/support/resources either directly from Mariposa International, or via Zoe Clark-Coates?

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* 11. Would you be willing to help at events/services in different regions?

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* 12. Have you ever done fundraising for a charity/cause before?

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* 13. Which of the following would you be willing to undertake for the organisation?

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* 14. Do you feel that you have the skill/experience and time to be a Regional Coordinator for the work of the organisation?

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* 15. We like our volunteers to work with us on a long-term basis, do you feel that this is possible for you?

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* 16. Are you part of any other local community group or projects?

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* 17. Would you help us promote the Saying Goodbye services in your region or elsewhere?

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* 18. Would you or any family member/friend be willing to take on a sporting challenge (5K, 10K, Marathon, Trek, Swim, Cycle, Walk etc) for the organisation?

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* 19. Do you speak any other languages, and could you help with translation services?

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* 20. Do you have any media/journalistic contacts that could help the organisation with PR or promotion?

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* 21. Do you have experience/skills in Search Engine Optimization and Social Media optimization?

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