MRC Application Fall 2015

Deadline for Applications for the Fall 2015 session is Monday, September 28. This is a popular course. To ensure a positive learning experience and adequate support for volunteers, class size is limited to 30 people. All applicants will receive notification of their status in the class and next steps.

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* 1. Contact Information

Name:

Address:

City/Township:

ZIP:

Email Address:

Phone Number:

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* 2. Best way to contact you?

E-mail

Phone

Other (please specify)

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* 3. Which category below includes your age?

18-20

21-29

30-39

40-49

50-59

60 and over

60 or older

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* 4. Which of the following categories best describes your employment status?

Employed, full-time

Employed, part-time

Not employed

Retired

Disabled, not able to work

Student

Other (please specify)

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* 5. Who is your current employer?

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* 6. What is your current job position?

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* 7. Do you have any special needs (e.g. hearing mobility, heart condition, etc.) while participating in the program or which would limit your activities as a Master Recycler?

Yes (please specify)

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* 8. Please, list any skills, interests, hobbies which you could share with Master Recyclers (such as graphic design, other language, carpentry, reuse skills, etc.).

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* 1. Contact Information

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* 2. Best way to contact you?

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* 3. Which category below includes your age?

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* 4. Which of the following categories best describes your employment status?

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* 5. Who is your current employer?

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* 6. What is your current job position?

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* 7. Do you have any special needs (e.g. hearing mobility, heart condition, etc.) while participating in the program or which would limit your activities as a Master Recycler?

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* 8. Please, list any skills, interests, hobbies which you could share with Master Recyclers (such as graphic design, other language, carpentry, reuse skills, etc.).

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* 9. List any groups/organizations are you involved with.