Volunteer Sign up Form

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Required fields are marked with an asterisk *

	*First Name:	A value is required.
	*Last Name:	A value is required.
	*Home Address:	A value is required.
	*City:	A value is required.
	*State:	A value is required.
	*Zip:	A value is required.Invalid format.
	Phone:	A value is required.Invalid format.
	Cell Phone:	A value is required.Invalid format.
	*Email:	..
	*Occupation:

	*Availabilty:

	Volunteer Assignment Preferences (Please Choose Up to three). Click here for Description
	- Church Voluntary Work - Medical & Nursing Voluntary Work - HIV/AIDS Volunteering - Building & Construction Volunteer Work - Teaching Volunteer Work - Orphanage Volunteer Work - Agriculture - Leadership Development - Enterpreneurship
	*1st Choice:

	2nd Choice:

	3rd Choice:

	Additional Comments:

- Church Voluntary Work