Group Volunteer Form-PHMC
THis form is used to capture general information for potential volunteers.  All volunteers must attend an orientation before being enrolled as an official participant in our system
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Email *
Agency/organization name
Contact person's name, title, email and phone number
Please list all volunteer's name and age below
If necessary will the agency referring volunteers be able to provide child clearances?  Some of the activities involve working direcly with youth under 18 and will require a backround check and child clearance.
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A copy of your responses will be emailed to the address you provided.
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