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Volunteer Application - Greene

* Required Fields

Personal Information

Date Picker

Assignment Interests

If other, please describe the type of assignment desired:


If you have other skills and/or abilities that you believe to be beneficial to our organization, please explain:

Education/Employment Information

High School:      Undergraduate:     Other - please specify: 



Have you ever been convicted of, been released without imposition of sentence, or received pretrial diversion for any crime, excluding motor traffic tickets?  

If YES, describe all of these actions, including the nature of the criminal offense(s), the location and dates, and their disposition. Conviction of a crime is not an automatic bar for consideration for volunteer service.

Please list any previous volunteer experience:


  Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Will you be available to begin volunteering immediately after you have completed orientation and TB testing?  
Are you willing to commit to a three to four hour shift once a week?  

Emergency Contact Information


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