Volunteer Application

Personal Information

Name
Address

Those under 18 must provide their age and obtain a parent signature.

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Do you need community service hours?
If yes, for:
Have you ever been convicted of a crime other than a minor traffic offense?

Availability

Day(s) of the week
Preferred amount of hours per week

Experience

Computer Experience

Interests

The following is a list of possible volunteer tasks. Check all tasks that may be on interest to you:

Emergency Contact

Name
Address

References

Reference #1

Name

Reference #2

Name

Applicant's signature

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