Project One Focus Volunteer Form

Name
Prefix
First
Last
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone Number

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Cell Phone Number

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Email
How Did You Hear About Project One Focus?
Availability
 Weekday mornings 
 Weekday afternoons 
 Weekday evenings 
 Weekend mornings  
 Weekend afternoons  
 Weekend evenings  
 Summers only 
 Holidays only 
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 
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.
Previous Volunteer Experience
Person to Notify in Case of Emergency
Prefix
First
Last
Suffix
Emergency Contact Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Emergency Contact Phone Number

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Emergency Contact Email
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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