VOLUNTEER FORM

National Worker for Multiples of America

Volunteer Forms are due by June 10th for consideration for appointments in the upcoming term (beginning August 1st). Forms are accepted at any time; however, priority is given to those completed by the deadline. Job descriptions of the positions are available on our website at: www.multiplesofamerica.org OR may be obtained by contacting the Advisor at: Advisor@multiplesofamerica.org.

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* 1. Please enter the following information:

Name:

Street Address:

City/State/Zip Code:

Email:

Phone (home):

Phone (cell):

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* 2. I am a member in good standing of the following local member club/s (list club name and state - please do not abbreviate):

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* 3. I am a member of the following state organization, if applicable (please do not abbreviate):

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* 4. Are you an AFFILIATE member of Multiples of America?

Yes

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* 5. In the order of your preference, please rank the AREA where you want to serve (beginning with top choice as #1). Please note you can "drag and drop" in desired order:

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* 6. In the order of your preference, please rank the POSITION, where you want to serve (beginning with top choice as #1). Please note you can "drag and drop" in your desired order:

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* 7. Briefly share a summary of your experience in multiple birth organizations (including Multiples of America, state, and local clubs).

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* 8. Briefly share a summary of your outside work experience, education and training, community and other volunteer service. (You are strongly encouraged to submit a copy of your current resume or CV to Advisor@multiplesofamerica.org for inclusion with this Volunteer Form.)

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* 9. Please provide a brief statement about why you are volunteering to serve Multiples of America as a National Worker. For those seeking a position on the Board of Directors, this statement is required. (300 word or less).

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* 10. Please provide any additional information you would like to share, not addressed above, to help us appoint you to the best position.

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* 11. Upon completion of this form, I will send a copy of my current resume or CV (Curriculum Vitae) to: Advisor@multiplesofamerica.org. Samples of work related to your preferred positions may also be submitted. All materials will be handled in a confidential manner.

By electronically signing below, I consent to serve as a volunteer for Multiples of America. I understand to be eligible to serve, I must maintain membership in good standing in a club/Organization. As a National Worker, I will represent the best interests of the entire membership at all times; fully participate in assigned duties; and promote the goals and objectives of Multiples of America.

Thank you for your willingness to serve! If you have any questions about this process, please contact the Advisor at: advisor@multiplesofamerica.org.