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* 1. Volunteer's Name:

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* 2. The above named student has applied to volunteer at the St. Joseph Safety and Health Council's Safety Town program.
 
Volunteers for this program will assist certified instructors in teaching safety concepts to children 5 through 7 years of age.
 
Because the success of this program depends greatly on our Teen Volunteers, please be candid with your responses.
 
Recommendations will be kept confidential. 
 
Thank you!!

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* 3. How long have you know this volunteer:

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