St. Martin's Volunteer Sign Up
Name *
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Address *
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City *
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State *
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Zip Code *
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Home Phone Number *
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Cell Phone Number *
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Email Adress
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Gender *
Any Physical Limitations? *
Trouble lifting heavy objects, problems with standing for extended periods of time, etc.
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If Under 18, Please List Your Age *
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Where did you hear about us? *
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Any previous experience with St. Martin's? *
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Education and Training: Highest Grade Completed *
Are you presently employed?
What Skills Do You Possess That May Be Beneficial As A Volunteer At St. Martin's? *
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Are you interested in volunteering: *
Required
Volunteer Training
In order to volunteer with St. Martin's and programs, you will need to attend a volunteer training. These classes will be held on the 2nd & 4th Wednesday of each month from 1:30P - 2:30P
Is There A Specific Program You Would Like To Work With? *
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What days and Hours Are You Able To Volunteer? *
If none listed available, fill in other with time you can help.
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List Two References With Names and Phone Numbers Who Are Not Related To You. *
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Languages *
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Emergency Contact: *
First and Last Name, Telephone Number, Address
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Medical Information We Should Be Aware Of In An Emergency
Allergies, Special Medications, &/or Conditions
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By Checking this Box, I certify I have read St. Martin's Confidentiality Agreement, and I will adhere to it. *
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By Checking This Box, You hereby agree to serve any client who is assigned, regardless of race, sex, creed or national origin. *
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Digital Signature and Date *
Type your name and fill in the date, verifying you submitted this.
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