Sweet Home 250 Volunteer Application • American Village Citizenship Trust

First Name: *

Last Name: *

Email Address: *

Mailing Address: *

Mailing Address Line 2:

Mailing City: *

Mailing State: *

Mailing Zip Code: *

Phone Number: *

Gender:

Date of Birth: *

Emergency Contact Name:

Emergency Contact Number:

Have you previously volunteered at the Village? *

Yes

No

Can you stand for extended time periods? *

Yes

No

Can you volunteer in the outdoors? *

Yes

No

Would you be willing to drive a shuttle? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

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