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Volunteer Signature: Date: Director: Date: For office use only: PLACEMENT 1: POSITION SUPERVISOR: ASSIGNMENT: STARTING DATE: CORI COMPLETED: DATE AND INITIALS: PLACEMENT 2: POSITION SUPERVISOR: ASSIGNMENT: STARTING DATE: CORI COMPLETED: DATE AND INITIALS: PLACEMENT 3: POSITION SUPERVISOR: ASSIGNMENT: STARTING DATE: CORI COMPLETED: DATE AND INITIALS: NOTES .
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