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Project Dignity Volunteer Form
Name:
Email:
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Occupation (Past occupation if retired):
Other information(such as education, general interests/hobbies):
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Availability:
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Have You Ever Been Convicted For Violation Of Any Laws, Traffic Or Otherwise?
Yes
No
If Yes, Please Explain:
I hereby give my consent to contact my references; to contact my employers, past and present; and to conduct a background check, if necessary.
I hereby release Project Dignity Outreach from all liability arising out of my volunteering activities.