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Volunteer Information form
 Personal Information
Full Name
Mailing Address:
 
City  
Zip Code
Phone Number -  
Birth Date (MO/DD/YR)
Church Affiliation
Occupation
Volunteer Experience
Hobbies, Skills,
Special Interests
Email Address
 Areas of Interest and Availability
I'm interested in the
following area(s):

Field Trips
 Entertainment
  
 Independent
 Maintenance
 Mental & Physical Stimulation 
 Spiritual
  
Day(s) Preferred Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time(s) Preferred Morning
Afternoon
Evening
   

ALL VOLUNTEERS SERVING ON A REGULAR BASIS WILL BE REQUIRED TO
GRANT PERMISSION FOR A MICHIGAN STATE POLICE BACKGROUND CHECK
 
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