GENERAL INQUIRY FORMThank you for your interest in Voices for Children!
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| Name (required)
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| Email (required)
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| Best Contact Number (required)
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We will confirm your attendance at the information session and send a reminder via email.
Sessions will be held at the Juvenile Court Building at 920 N. Vandeventer, 63108 OR the World Trade Center building at 121 S. Meramec, 63105
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Which Advocate
Information Session
would you like to attend?
(required)
PLEASE SELECT ONE
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| Saturday, June 2nd at 9:00 AM at 121 S. Meramec, 63105 Wednesday, June 13th at 6:00 PM at 121 South Meramec, 63105 Wednesday, June 27th at noon at 920 North Vandeventer, 63108 Saturday, July 14th at 9:00 AM at 121 South Meramec, 63105
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The following information, although not mandatory, will assist us in monitoring the source of our inquiries, in determining the focus of our recruiting
activities in the future, and provide data for grant applications.
No individual will be rejected because of race, color, religious creed, national origin, sexual orientation, age or marital status.
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| Gender
| Male Female
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| What is your race?
| Please indicate all that apply by holding down the CTRL key to select more than one choice.
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How did you learn about
our program?
| Please indicate all that apply by holding down the CTRL key to select more than one choice.
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Other ways you may have heard about our program (Please complete all that apply.)
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Brochure
(Where did you see it?)
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Current Voices Advocate
(Name?)
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Event
(Name and Date?)
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| Friend (Who?)
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Postcard in the mail
(What is your zip code?)
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Radio
(Which station?)
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Religious Organization
(Which one?)
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Television
(Which program?)
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School
(Which one?)
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Voices Board Member
(Who?)
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Website-Other
(Please specify)
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Other
(Please specify)
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Thanks again for your interest in Voices for Children.
We look forward to meeting you in person!
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