Lower Moyamensing Civic Association Volunteer Interest Form
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First Name *
Last Name *
Email address
Phone number
Your street address
Your street address (line 2)
Zip code *
My age: *
Number of children in your household:
How did you hear about LoMo? *
Do you have any professional skills that you would be willing to share with LoMo? If so, which?
Have you ever served on a non-profit board before?
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Please indicate which day(s) and time(s) you are generally available: *
Do you have access to a truck that you would occasionally be willing to make available to support LoMo projects?
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I would like to help out with the following projects (you may select more than one): *
Do you have experience with any of the following (you may select more than one): *
Any additional comments:
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