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June 20th & 21st, 2009 (Sat & Sun), presented by Cole's
Volunteering : Online Application
Personal Information
Name:
Address:
City:
State:
Zip:
Email:
Telephone:
Date of Birth:
(MM/DD/YY)
If you are under 18, parental consent is required
Shirt Size:
Small
Medium
Large
X-Large
XX-Large
XXX-Large
* if you are unsure, order a size bigger
Emergency
Contact:
Telephone:
Relationship:
Med. Group :
*optional
Have you ever been convicted of a crime of violence, sexual misconduct or a felony?
No
Yes
If yes, please explain (include date of conviction and any pending litigation)
Previous Volunteer Experience
Organization:
Dates:
Duties Performed:
Duration of Services:
Volunteer Services
Three-hour volunteer shifts will be scheduled on Saturday, June 21 and Sunday, June 22, 2008.
I am available to volunteer:
Saturday Morning
Sunday Morning
Saturday Afternoon
Sunday Afternoon
Saturday Evening
Sunday Evening
Number of 3 hour shifts I'd like to volunteer per day:
Special duties / services / talents::
How did you hear about us?
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