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Volunteer Application
Name
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State
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Date of Birth
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Gender/How You Identify
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Emergency Contact 1 Name
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Phone Number
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Relationship:
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Emergency Contact 2 Name
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Phone Number
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Relationship:
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How did you learn about NFSB?
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Direct Mail
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NFSB Employee
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Previous Volunteer Experience.
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List name of organization(s) and duties performed. Including previous experience with NFSB.
Volunteer Interest
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Outreach
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Special Skills:
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Bi-Lingual Spanish
Willing to use car for NFSB
Computer Literate
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Organization
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How often are you available?
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Volunteer Days Available
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Monday AM
Monday PM
Monday Evening
Tuesday AM
Tuesday PM
Tuesday Evening
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Wednesday PM
Wednesday Evening
Thursday AM
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Thursday Evening
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1st Reference (Name, Address, Phone, Relationship)
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In an effort to maintain the safety of our staff, volunteers, and clients, please list three references. Include first & last name, full mailing address, phone number including area code, and relationship/how the reference knows you.
2nd Reference (Name, Address, Phone, Relationship)
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Ethnic or Racial Background
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African
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This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.
Are you a veteran?
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This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.
Are you living with a disability?
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This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.
Signature
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I agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
Date
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(existing volunteers please list approximate date you began volunteering with NFSB)
T-Shirt Size
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