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Select Date & Time
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Please contact me to schedule a separate orientation, as I am unable to attend any of the scheduled dates
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If you are required to volunteer, please select what kind of community service:
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Birthday
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Age
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Mobile #
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Zip
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If you would like to get your company involved, please put company name
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Best Way to Reach You
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Medical conditions that may affect volunteer assignment
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Emergency Contact
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Relationship
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Day Phone #
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Night Phone #
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Volunteer Area (check the area(s) where you volunteer or plan on volunteering)
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Additional Volunteer Positions: Select any you would be interested in (not required)
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If you are knowledgeable in construction and are interested in using your skills to help build homes for families in need, please select list your skills sets (ex: carpentry, electrical, plumbing, landscaping, etc.).
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Committee Interests (check all committees that you would like more information about)
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Today's Date
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