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SJ HRM/ASP Youth Volunteer Interest/Information Form 2026/2027
If you are interested in joining the Home Repair Ministry/Appalachia Service Project, please complete this form so we can contact you about upcoming project events. This information will be used only by HRM/ASP.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Your Cell Phone Number
*
Your answer
Street Address
*
Your answer
City, State
*
Your answer
Zip Code
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
High School/College You Attend
*
Your answer
Year in High School or College
Freshman
Sophomore
Junior
Senior
post High School
Clear selection
Years Attended an ASP Trip
Your answer
Parents/Guardians Names
*
Your answer
Parents'/Guardian's e-mail
*
Your answer
Parent's /Guardian's phone number
*
Your answer
Church affiliation
SJ Roman Catholic
SJ United
Other
Clear selection
Please list an allergies or food needs (vegetarian?) or health issues that we should know about for your safety (Note: this information will be treated as confidential)
Your answer
Please list any special skills, qualities which could enhance the HRM/ASP experience.
Your answer
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