Hive & Leichtag Foundation Volunteer & Virtual Programs Interest List

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* 1. Name (first and last):

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* 2. E-mail:

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* 3. Phone:

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* 4. Do you have any specific talents, ideas or specialties that you think could be useful during this time?

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* 5. Are you interested in receiving information about virtual programs?

Yes

No

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* 6. Are there other kinds of programs or offerings you would like The Hive to provide during this time?