BOOK CLUB - VOLUNTEER FACILITATOR APPLICATION AND BACKGROUND CHECK AUTHORIZATION FORM
Email address *
First Name *
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Last Name *
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Street Address *
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City *
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State *
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Zipcode *
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Cell Phone Number *
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Email Address *
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Social Security # *
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Driver's License # and State Issued *
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Employer and Job Title *
Your answer
Do you have experience working with people with disabilities? If Yes, please describe. *
When are you available to begin serving as an NCBC Volunteer Facilitator? *
Your answer
What days of the week are you available to volunteer? Check any days you are available each week. Your club will meet one day each week. *
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Have you ever been convicted of a misdemeanor or felony? (If you are convicted of a misdemeanor or felony, you need to inform Texas Advocates within 24 hours) *
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