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Address: Street Address Apartment/Unit City State ZIP Code Phone: ( ) E-mail Address: Date Available: SSN: Date of Birth: Profile Check the areas that interest you: Regional Support (requires additional training and approval) Special Events (Vary based on calendar and scheduled projects) Fundraising / Grant Writing General office assistance: Administrative Support (mailings, copying, answering phones, etc.) Computers and Technology (editing, data entry, website, etc.) Research and Resource Library What time commitment fits best with your schedule Weekly Every 2 weeks Monthly Occasionally (for special projects) M T W TH F Evenings / Weekends only (for special projects) Time preferred: Mornings to Afternoons to How far will you travel (for Regional Specialist) Miles or Time Please list relevant work and previous volunteer experience: Please list any special skills you bring to ECH (public speaking, computers, event planning, marketing/PR, speak/write second language(s), etc.): Are you presently employed Yes FT PT No Retired Student Other If employed, Name of Company: Position: Years of Service: Education High School: Address: From: To: Did you graduate YES NO College: Address: From: To: Did you graduate YES NO Degree: Other: Address: From: To: Did you graduate YES NO Degree: Reference Please provide a non-family reference you have known at least three(3) years: Full Name: Address: Phone (H): ( ) Phone (W or Cell): ( ) How do you know this person Emergency Contact Full Name: Phone (H): ( ) Phone W or Cell: ( ) Relationship: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge..