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Volunteer Opportunities

Thank You for your interest in Volunteering with

( * = Required field ) Name: * Address: City: Postal Code: Phone Number: * E-Mail Address: * Previous Volunteer Experience: What Hobbies, Skills, and Special Interests Do You Have?

Please Select the Types of Volunteer Activities You Desire
(Check all that apply)

Visiting with individual Friend/Companion with Individual Driver Taking Someone Shopping Supporting On Recreational Activities Teaching Domestic Skills Supporting on Community Activities Supporting at Community Pools Tutoring In Literacy

Committee Member Office Activities Assisting with Computers Maintenance Activities (Grounds) Maintenance Activities (Buildings) Speaker/Public Relations Vocational Aide Job Coach at Individual's Work Site

Which Age Groups Would You Prefer To Work With?

Children

Teens

Adults

Seniors

Which Days and Times would You Be Available?

Days & Times	Mon.	Tues.	Wed.	Thur.
	Fri.	Sat.	Sun.

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