Project One Focus Volunteer Form
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Name
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Prefix
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First
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Last
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Suffix
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Address
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Street Address
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Address Line 2
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City
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State / Province / Region
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Postal / Zip Code
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Country
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Home Phone Number
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Cell Phone Number
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Email
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How Did You Hear About Project One Focus?
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Availability
| Weekday mornings Weekday afternoons Weekday evenings Weekend mornings Weekend afternoons Weekend evenings Summers only Holidays only
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Interests
| Administration/Clerical Event Planning Field Work Fundraising Deliveries Literacy Mentoring/Counseling Marketing Donation Solicitation Tutoring Food & Clothing Pantry Newsletter Production Volunteer Coordination GED Prep/ESL Maintenance/Janitorial/Grounds Other
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Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
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Previous Volunteer Experience
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Person to Notify in Case of Emergency
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Prefix
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First
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Last
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Suffix
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Emergency Contact Address
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Street Address
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Address Line 2
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City
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State / Province / Region
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Postal / Zip Code
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Country
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Emergency Contact Phone Number
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Emergency Contact Email
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Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a Project One Focus volunteer, any false statements, omissions, or other misrepresentations made
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Prefix
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First
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Last
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Suffix
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Image Verification
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