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| Name: |
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| Address: |
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| E-mail Address: |
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| Cell Phone: |
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| Home Phone: |
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| Work Phone: |
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| Date of Birth: |
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| Sex: |
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| Ethinicity (optional): |
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| Emergency Contact Name: |
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| Emergency Contact Phone Number: |
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| What are the best days/times to contact you?: |
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| Do you have a car which you'd be willing to drive on special occasions?: |
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| Do you have proof of automobile insurance?: |
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| Could you carpool other volunteers?: |
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| Do you have any special medical conditions?: |
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| Choose which applies to you: |
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| If you're in college, what's your major and year (freshman, etc): |
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| Vocational/Career Goals: |
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| Have you volunteered with Save Our Children Project before?: |
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| What days/hours are you available to volunteer?: |
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| Choose the subject area in which you are most interested/qualified: |
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| Other Area (if you have an interest that does not appear on the drop down list, type it here): |
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| Choose Age Preference: |
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| Name of High School: |
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| Length of Time: |
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| Location: |
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| Diploma: |
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| Activities: |
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| Name of College/University: |
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| Length of Time: |
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| Major: |
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| Degree(s): |
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| Activites: |
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| Name of College/University: |
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| Length of Time: |
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| Major: |
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| Degree(s): |
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| Activities: |
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| Job or Volunteer Title: |
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| Length of Time: |
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| Supervisor: |
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| Phone Number: |
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| Duties: |
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| Job or Volunteer Title: |
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| Length of Time: |
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| Supervisor: |
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| Phone Number: |
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| Duties: |
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| Reference #1: |
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| Years Aquainted: |
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| Phone Number: |
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| Address: |
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| Reference #2: |
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| Years Aquainted: |
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| Phone Number: |
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| Address: |
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I agree to serve as a volunteer and to perform my volunteer duties to the best of my ability, to adhere to SOCP rules and regulations including documentation requirements and confidentiality of SOCP and program information, to attend volunteer trainings and meetings, to meet time and duty commitments, or to provide notice so that alternatiev arrangements can be made. I release SOCP from all liability. I hereby authorize SOCP to verify all information contained on my volunteer application with former employers, references or appropriate personnel or resources. I further authorize personnel at the listed places of employment or reference to discose any pertinent information regarding my work history, personal characteristics or information of importance to SOCP. I also authorize SOCP to conduct a criminal background check, if required. Furthermore, I waive the right to sue the aforementioned references for releasing such requested information. I understand this authorization policy and agree to release and verification of the aforementioned information. |
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