Submit your completed application toPWET1@aol.comor fax to (951) 242-7001. Feel free tocontact us if you have any questions or want to know more about our programs. Name:______________________________________________________________________ Address: ______________________________________________________________________ Phone: __________________________Email: __________________________ Age: Under 18 ___ 18-20 ___ 21-31 ___ 31-45 ___ 46-64 ___ 65 and above ___ Occupation: ____________________________________________________________________ Work experience:EmployerJob TitleLocation(City, State)Dates (from,to)Job DutiesEducation:NameLocation(City, State)# of yearscompletedMajorDiploma /DegreeHigh schoolCollegeTrade schoolVolunteer experience:OrganizationLocation(City, State)Dates (from,to)Job DutiesLeisure activities: _______________________________________________________________ Transportation: Available ___ Not available ___ Auto ___ Public transportation ___ Skills that I have and would like to share: ____________________________________________ ______________________________________________________________________________ Skills I would like to develop: _____________________________________________________ ______________________________________________________________________________
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