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Maryland Chapter VolunTEAR Application
An Equal Opportunity/Affirmative Action Organization
www.TheTearsFoundation.org
(253) 200-0944
marylandchapter@thetearsfoundation.org
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* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Birth Date
MM
/
DD
/
YYYY
Phone number
*
Your answer
Complete Mailing Address with Street, City, State, Zip
*
Your answer
Email
*
Your answer
Area of Interest - choose all that apply
*
Fundraising
Emotional Support Services
Administrative
Outreach and Education
Other:
Required
How much time would you like to dedicate to volunteering?
Event Volunteer (Average of a few hours a quarter)
Special Projects (Decided by you, you have a special service to offer us)
Committee Volunteer (3-10+ hours a month depending on time of year and upcoming events)
Other:
Clear selection
Person Volunteering in Honor of:
*
Your answer
Person volunteering in honor of birth date
MM
/
DD
/
YYYY
Person volunteering in honor of death date
MM
/
DD
/
YYYY
Emergency Contact
Your answer
Emergency Contact Phone
Your answer
Emergency Contact Relationship
Your answer
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