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Yes, I would like to help!
Date:_________________
| Name |
|
| Address |
|
| Home Phone |
|
| Employer |
|
| Work Phone |
|
Email Address |
|
| Driver's License # |
|
| License Plate # |
|
|
x |
Check all that apply |
|
Available Hours |
| |
Adult (36-55) |
Sunday |
|
| |
Young Adult (20-35) |
Monday |
|
| |
Senior |
Tuesday |
|
| |
Parent |
Wednesday |
|
| |
Grandparent |
Thursday |
|
| |
Teenager |
Friday |
|
| |
|
Saturday |
|
Areas of Service
Check all that Apply
| |
Substitute Staff |
|
Collecting Food & Paper Products |
| |
Transportation |
|
Gardening & Yard Work |
| |
Special Events Coordinator |
|
Snow Shoveling |
| |
Mailings |
|
Moving Help (with truck) |
| |
Newsletter |
|
General Construction |
| |
Fundraising |
|
House Maintenance |
| |
Craft/Homemaker Instructor |
|
Washing Windows |
| |
Tutoring for GED |
|
Painting |
| |
Decorating Advisor |
|
Childcare (Next Generation) |
| |
Parent/Health
Presentations |
|
Thrift Shoppe (Second Generation) |
| |
Transportation |
|
Other |
Please list 3
References who are not relatives.
| |
1 |
2 |
3 |
|
Name |
|
|
|
| Address |
|
|
|
| City |
|
|
|
| State |
|
|
|
| Zip Code |
|
|
|
| Phone # |
|
|
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| Context in which you know them |
|
|
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I understand this is a volunteer position and might not
necessarily lead to a paid position.
|
___________________ |
________ |
| Signature |
Date |
|
|
I would like to support New Generation with the following:
Monthly contribution
One Time Gift
$ ____
|
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|
