Volunteer Registration

Please complete all required fields!

How many days a month would you like to volunteer?(*)

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Days available (pick all that apply)(*)

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How many hours a week would you like to volunteer?(*)

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What shift(s)s are you available to work?(*)

8 am - noon
noon - 4 pm
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First Name(*)

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Last Name(*)

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Address(*)

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Address two

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City(*)

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Zip Code(*)

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Home Phone(*)

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What type of volunteer jobs are you interested in?(*)

Phone Calls
Block Walking
Social Media Shares
Letters to Editor
Sign Waves
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Volunteer

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Email(*)

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Description for other volunteer position

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