Volunteer Form 2012

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					                       Volunteer Registration Form                              Date__________________

                       Name: _________________________________
                       Address: ________________________________
                       City: ___________ Postal Code: _____________
                       Phone: _________________________________
                       Email Address: ___________________________
    Arusha Centre      Emergency Contact (name/phone):________________________________
         c/o
  The Old Y Building   Preferred method of communication (phone/email):___________________
#106, 223-12 Ave. SW
   Calgary, Alberta
      T2R 0G9          I have access to a vehicle for volunteer purposes (y/n) ________________
                       Please note that having a vehicle is not a requirement
  Tel: 403.270.3200
   www.arusha.org      What is it about the Arusha Centre that motivates you to want to volunteer?
 arusha@arusha.org     ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________


                       Skills or experience you would bring to the organization:_______________

                       ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________


                       What do you hope to gain from your volunteer experience with Arusha?

                       ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________

                       ____________________________________________________________


                       Please provide two references (name/phone number):

                       1)_______________________________________

                       2)_______________________________________

				
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