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Contact Information
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| I am 16 or older: |
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| All applicants under the age of 16 must be accompanied by a parent or guardian at all times |
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Availability |
| During which hours are you available for volunteer assignments? (Check all that apply) |
| 9:15 AM - 11:00 AM |
4:30 PM - 6:30 PM |
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Monday |
Monday |
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Tuesday |
Tuesday |
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Wednesday |
Wednesday |
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Thursday |
Thursday |
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Friday |
Friday |
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Special Events |
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Other (clerical, computer, and filing) |
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Interests |
| Tell us in which areas you are interested in volunteering |
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Special Skills or Qualifications |
| Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through
other activities, including hobbies or sports. |
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Previous Volunteer Experience |
| Summarize your previous volunteer experience. |
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Person to Notify in Case of Emergency |
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Tell us about you |
| Who lives in your house? (include pets of course) |
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| Where do you work and what do you do? |
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| What do you do in your free time (besides volunteering here)? |
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| Do you have any allergies or medical conditions that you want us to know about? |
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Agreement |
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am
accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application
may result in my immediate dismissal. |
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Our Policy |
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin,
gender, sexual preference, age, or disability. |
Thank you for completing this application form and for your interest in volunteering with us.
Hit the Submit button to email this form, or
print and mail this form to:
Texas Hearing & Service Dogs, 4925 Bell Springs Road, Dripping Springs, Texas 78620. |
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