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Camp SHIELD Volunteer Application

Thank you for your interest in becoming a volunteer with Camp SHIELD. Please complete the information requested below.
Your Name(*)
Please let us know your name.

City(*)
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Zip Code(*)
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Work Phone
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Date of Birth (if under 18)
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Occupation
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Address(*)
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State(*)
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Home Phone(*)
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Your Email(*)
Please let us know your email address.

Employer
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List experiences, hobbies, special skills that you are willing to share:
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Has someone close to you died? If yes, please explain the circumstances:
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Volunteer work may require walking, bending, some light lifting (under 10 lbs).
Do you have health-related problems or physical limitations? If yes, please explain:
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Why do you want to be a volunteer with Camp SHIELD Family Retreat?
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How did you hear about Camp SHIELD Family Retreat?
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References
Please give complete names, addresses, and telephone numbers for two (2) references from professionals and / or previous volunteer experiences:
Name(*)
Please let us know your name.

Relationship to You(*)
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Occupation(*)
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City(*)
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State(*)
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Zip Code(*)
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Home Phone(*)
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Work Phone(*)
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Name(*)
Please let us know your name.

Relationship to You(*)
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Occupation(*)
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City(*)
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State(*)
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Zip Code(*)
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Home Phone(*)
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Work Phone(*)
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Minor Application
All applicants under 18, please complete the following information:
Parent Guardian Name
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Home Phone
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Work Phone
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What School Do You Attend
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Grade
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Why do you want to be a Team Volunteer?
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