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It Takes A Village

Volunteer Application
Contact Information
Name: Street Address: Phone Number: ( Email: ) -

Availability
Please indicate ith a check mark the da!s !ou are a"ailable to "olunteer# $rite times ne%t to da!s a"ailable# Sunda!: &onda!: Tuesda!: $ednesda!: Thursda!: 'rida!: Saturda!:

Interest
Please indicate ith a check mark "olunteering in# (osting Planning and )esigning *ra+ting Entertaining )onation management Photograph! or Videograph! hich area !ou are interested in

,ther:

Special Skills or Qualifications


Please list an! special skills or -uali+ications that "olunteer +or It Takes A Village# ill make !ou the best

Experience
Please list an! rele"ant e%perience#

Emergency Contact
Please indicate an indi"idual that can be reached in case o+ an emergenc!# Name: Phone Number:( ) Email: .elationship:

Agreement and Signature


/! submitting this application0 I a++irm that the +acts set +orth in it are true and complete# I understand that i+ I am accepted as a "olunteer0 an! +alse statements0 omissions0 or other misrepresentations made b! me on this application ma! result in m! immediate dismissal# Name: Signature: )ate:

Thank !ou +or appl!ing to "olunteer ith It Takes A Village1 $e look +or ard to re"ie ing !our application#

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