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Name:


Home Address:


Home Phone:

Cell Phone:

Email:

Company Name:

Business Address:

Business Phone:

Availability and Preferneces
Do you prefer short (one or two days) or long (several weeks or months) assignments?


Do you drive and have access to a car or do you prefer to take assignments near public transportation?


What days of the week and times are you available to volunteer?


What population do you prefer to volunteer with? (Please check all that apply):

Pre-School
Elementary School
Teens
Adults
Seniors
Men
Women
Developmentally Disabled
Emotionally Disabled
Medically Compromised
Other

Do you prefer to work in Highland Park, or are you able to travel to surrounding communities?


Tell us about your interests, skills, talents, and hobbies.



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