Clean Marine Disposal Event 2016: Volunteer Registration and Survey

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Are you age 18 or older?

Yes

No

If no, please note that a parent or guardian over the age of 18 must be present with you during your volunteer shift.

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* 3. For the Clean Marine Disposal Event (May 12 -14, 2016), I am interested in (please check all that apply):

Helping out at a drop-off location during the event

Assisting with promotion of the event

Serving as a drop-off location (please specify below):

Drop-off location:

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* 4. Please select your availability during Clean Marine (please select all that apply -- this doesn't lock you into these times but helps us organize the volunteer pool):

	AM (9 AM - 12 PM)	PM (12 PM - 4 PM)
Thursday May 12	Thursday May 12 AM (9 AM - 12 PM)	Thursday May 12 PM (12 PM - 4 PM)
Friday May 13	Friday May 13 AM (9 AM - 12 PM)	Friday May 13 PM (12 PM - 4 PM)
Saturday May 14	Saturday May 14 AM (9 AM - 12 PM)	Saturday May 14 PM (12 PM - 4 PM)

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* 5. What areas of Charleston County would you prefer to volunteer? (Please select all that apply -- you are not locked in to all of these choices. This information helps us organize the pool of volunteers.)

Edisto Island

Johns Island

James Island/Folly Beach

Mount Pleasant

Awendaw

McClellanville

Downtown Charleston

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* 6. Do you have any suggestions for promotion of the event and/or the recruitment of additional volunteers?

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* 7. Thank you for filling out the volunteer registration form! We will be in touch shortly to firm up details with you. If you have additional comments or questions, please enter them below and/or contact EV Bell at ev.bell@scseagrant.org.