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Pace University - Be the Change 2011 Volunteer Registration
Thank you for volunteering for Be the Change 2011 on Saturday, October 1st! Please fill out all of the slots below. You will be contacted soon by the organizers for the location, time and other details of volunteering for BTC. We are excited to build community with you! If you have any questions, please contact SAALT's National Be the Change Coordinator at
krupa@saalt.org
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First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number (with area code)
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Group Affiliation (your university, student group, professional group, nonprofit, etc)
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Your answer
I will need certain accommodations at service sites (for example, wheelchair ramps).
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Yes
No
If applicable, please describe the accessibility issue.
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Your answer
Preferred Service Sites
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You will be assigned to a group based on the availability of the sites. This does not guarantee that you will get your preferred choice.
Education
Health
Community Renewal
Energy and the Environment
Safety and Security
Youth Empowerment
Senior Citizen Aid
Required
Would you like to be a site leader?
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Site leaders are responsible for leading their group of volunteers to their service site, conducting a small group discussion, and helping with overall logistics.
Yes
No
Maybe
Why are you interested in volunteering with SAALT's Be the Change Day?
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Your answer
What gender (if any) do you identify as?
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Your answer
What ethnicities or racial groups do you identify with? (ex. Tamil, Pakistani, Asian American, Trinidadian, etc.)
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Your answer
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