| First Name*: |
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| Middle Initial: |
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| Last Name*: |
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| Phone (With Area Code)*: |
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| Alternate Phone (With Area Code): |
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MAILING ADDRESS
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| Street Address 1*: |
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| Street Address 2: |
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| City*: |
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| State*: |
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| Zip*: |
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| E-mail*: |
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FOR STUDENTS ONLY
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| Name of School: |
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| Grade Completed: |
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| Major: |
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ALL VOLUNTEER APPLICANTS MUST ANSWER THE FOLLOWING QUESTIONS
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| Have you have been employed by MCFI, SEDA, TLS, NHS*? |
Yes No |
| If yes, please list dates of employment: |
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| Do you have a family member or friend receiving services from MCFI or its affiliates*? |
Yes No |
If yes, please indicate what program is
providing the services: |
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| How were you referred to MCFI*? |
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| In what areas at MCFI are you interested in volunteering*? |
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| When are you able to volunteer*? |
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| What special talents or hobbies do you have that you would like to use as a volunteer*? |
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| What would you like to learn as a volunteer*? |
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| Why are you interested in volunteering at MCFI*? |
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| Where have you volunteered before*? |
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| What did you do at your previous volunteer placements*? |
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