Hearts of Mercy Volunteer Application
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Email *
Full Name *
Address *
Cell Phone Number *
Home Phone #
Birthdate *
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What days are you available to volunteer? *
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Please select your primary area of interest *
Please check the areas of additional interest  *
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What qualities, skills, or other attributes do you possess that would benefit Hearts of Mercy Outreach?  Please describe.
Do you have computer skills? 
Do you have any health challenges or allergies that we should know about? Please list:
How did you hear about Hearts of Mercy? What about our organization speaks to you?
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