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Friendly Visiting NY Volunteer Registration

(718) 449-5000 ext 2311
3001 West 37th Street
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Password *
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Confirm Password *
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Your First Name *
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Your Last Name *
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Street Address *
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City *
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State *
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Zip Code *
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Cell Phone *
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Home Phone
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Preferred Method of communication *
Date of Birth *
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Current Employer / School *
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Who is your immediate Supervisor / Boss / Teacher *
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Please list two references, Please include their names and Phone number and your relationship to them. *
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I would like to help out in other ways.
My Hobbies are *
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My Educational Background is *
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I am available to volunteer *
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I can speak *
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How much time are you willing/able to commit to your volunteer responsibilities? *
Please list any prior volunteer experience
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Why are you interested in volunteering with CityMeals Friendly Visiting? *
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How did you hear about CityMeals Friendly Visiting? *
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Do you have any other input or feedback
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Do you have any record of any arrests, criminal charges or convictions? *
Profile Certification and Acknowledgement
By filling this form I confirm that to the best of my knowledge the above information is true and is submitted voluntarily. I understand that any false statement, misrepresentation or omission may cause my dismissal from volunteer services. This information may be used and disclosed for iVolunteer purposes and I realize as a volunteer I will not be paid for my services. Untitled Title
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Signature *
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