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Volunteer Application Form

 

 

Name ______________________________________________________

 

Address ____________________________________________________

 

              ____________________________________________________

 

Telephone (home) ____________________________________________

 

Telephone (mobile) ___________________________________________

 

Email ______________________________________________________

 

Age 18 or over:  Yes _____    No _____

 

Consent to background check:  Yes _____    No _____

 

If providing transportation:

 

Driver’s License Number _______________________________________

 

 

Services you are interested in providing (please check):

 

 

_____  Transportation

 

_____  Light home repairs

 

_____  Friendly visits/calls

 

_____  Yard work

 

_____  Technical assistance

 

_____  Other (please describe) ___________________________________________________

 

 

Thank you for your application and your interest in volunteering with Parkland Village!