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									                                Volunteer Application Form



First Name                          Middle Name                            Last Name



Address



City                                State                                  Zip



Home Phone Number                                          Work Phone Number



E-mail Address


Are you under 18 year of age?               Yes                      No



Emergency Contact Name              Relationship                           Phone Number



Education                                                  Present Occupation



Previous work experience


Have you ever been convicted of a misdemeanor or felony?             Yes                  No



                                            (continued on back)
Reason for seeking volunteer hours with Moorhead Parks and Recreation



Days and times available to volunteer                      Are you willing to volunteer on weekends?



Special interests or hobbies



Previous volunteer experience




                                                   References
          Please list the name, address, and phone number of two adults who know you well and have
                           known you for at least one year. Please do not list relatives.



Name                                                       Name



Address                                                    Address



City, State, Zip                                           City, State, Zip



Phone Number                                               Phone Number




Applicant Signature                                        Date

								
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