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PACE Application 2017
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Heidelberg Email Address
*
Your answer
Cell Phone Number
*
Your answer
Have you volunteered for PACE in the past?
*
Yes
No
Date of Birth
*
Your answer
Briefly describe any experience you have had caring for or teaching adolescents.
Your answer
Do you have a car?
*
Yes
No
I have not been convicted of a crime within the last 5 years for any offense.
*
By answering this question you are agreeing to a Memorandum of Understanding until an official BCI/FBI report is complete.
Yes, I was convicted of a crime within the last 5 years.
No, I have not been convicted of a crime within the last 5 years.
I have never been arrested, needed to appear in court or ordered to attend "Diversion" for any reason.
*
True
False
Most students are available after school. Mark which days you are available after 2pm
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Some students are available on weekends. Are you?
Yes
No
Maybe
Clear selection
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