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Volunteer Information
Name:
Address:
(address, city, state)
,
Phone:
(home)
(work)
(cell)
E-mail:
Profession:
Employer:
Name of one reference:
Reference
Phone #:
Please indicate your volunteer interests:
Pre-school Children's Programs
School Age Children's Programs
After School Program
Summer Camp
Reading Connection
Scouting
Teen Programs
Teen Tutoring
Youth Alliance
Adult classes and workshops
Basic Computing Skills
English
Resumes/Job assistance
Other (please describe)
When are you available to do your volunteer work?
Do you have a property preference?
How did you learn about AHC?
*Optional Statistics: (used for Volunteer Profile Report)
Gender:
Male
Female
Race:
White
Black
Hispanic
Asian
Other