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Volunteer Coordination

Name:

Home Telephone:

Email Address:

Summarize volunteer experience:

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

All employees, volunteers and staff are subject to a "Background Check". By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Name: Date