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BRH Volunteer Group Interest Form
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* Indicates required question
Group Name
*
Your answer
Contact Person's Name (must be age 18+)
*
Your answer
Contact Person's Email
*
Your answer
What date(s) and time(s) would you like your group to volunteer?
Your answer
Bolton Refuge House, Inc. has offices in Eau Claire, Jackson, and Buffalo Counties. Which of these offices would your group like to volunteer at? (Check All That Apply)
Eau Claire
Jackson
Buffalo
Number of Adults ( ages 18+)
*
1 (Group Leader Only)
2 - 5
6 - 10
11 - 19
20+
Number of Youth (ages 13 - 17)
*
0
1 - 5
6 - 10
11 - 19
20+
Number of Children (ages 12 and under)
*
0
1 - 5
6 - 10
11 - 19
20+
Please tell us about your group! Do you have a specific mission? Do you have a volunteer activity in mind? Is there anything you would like to tell us about your volunteer group that will help us create a positive volunteer experience for you?
Your answer
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