HRMM Volunteer Application
Name: *
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Address
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Home Phone Number
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Cell Phone Number
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Email Address
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Birthdate *
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Preferred method of contact
Current occupation and employer
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Education *
High School
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College
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Major
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Do you have reliable transportation? *
Volunteer positions you are interested in *
Required
Please inform us of any volunteer tasks you are not comfortable doing (i.e. heavy lifting, public speaking)
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Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
10:45 AM to 2:00 PM
2:00 PM to 5:15 PM
5:00 PM to 8:00 PM (event volunteers only)
Are you available for a regular, weekly schedule on one or more of the above days? *
Skills and interests
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Personal References (list name, relationship, and phone or email of 2 non-family members)
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Emergency contact (list name, relationship and phone or email of 1 person to be contacted in case of emergency)
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Submit
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