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Grata Connector Intake Form
Please complete this simple application to become a Connector with us and we will reply within 24 hours.
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Email
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Your email
Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Please list the days and times you are available.
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Your answer
Please describe your past volunteering experience.
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Your answer
Please describe any relevant skills and/or work history around supporting those in need and/or those that support.
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Your answer
Please share any specific areas of interest and passions for supporting those in need.
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Your answer
What motivates you to become a Grata Connector?
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Your answer
Please Provide 2 References we can contact. Please include their phone number and/or email address. (1 personal and 1 professional if possible)
Your answer
Demographic Information (We need this to insure we have a diverse group of connectors, we do not discriminate in anyway on any level) Please share your Age, Gender, and Race/Ethnicity
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Anything else you'd like to share with us?
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