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Volunteer Application Form

General Information
Date: *
Full Name of Applicant: *
Address:
Phone Number:
Email Address: *
How did you hear about United Way?:
Here are some of the areas available where volunteers may be required. Please indicate where you may be interested in assisting United Way.
	Office Support Administrative Board of Directors Member Agency Relations Fundraising Finance Training/Facilitation Fund Distribution Youth Projects Other

Experience
Please list current & past volunteer experience	Organization Name	Position	Dates To/From





In the space provided below, briefly outline any paid or volunteer experience that may relate to volunteering with United Way.
In the space provided below, briefly outline any formal education or training that may relate to volunteering with United Way.

References
I am pleased to provide the following references (other than family):	Reference One	Reference Two
Name:
Address:
Phone Number:
Connection to applicant:

Verification Phrase
Phrase *:
* Please type the verification phrase you see below, consisting of a colour, an animal and three numbers (case-insensitive). Why is this necessary? __ _ _ _ _ _ _ _ __ _ ___ __ __ __ \|__> \| \|\ \| \|_/ \| \| \| \| \| \| \|__ \|_ _) _) \| \| \| \\| \| \_ \|_\|_\| \|__\| \|__ \| __\| __) /__
Why is this neccessary? This is a CAPTCHA test to prevent spammers and automated spammer programs from sending us email through this form A CAPTCHA (Completely Automated Public Turing Test to tell Computers and Humans Apart) is a challenge-response system test designed to differentiate humans from automated programs. A CAPTCHA differentiates between human and computers, bots and spammers by setting some task that is easy for most humans to perform but is more difficult and time-consuming for current bots to complete. Frequently, a CAPTCHA features an image file of slightly distorted image. A human can usually read the characters in the image without too much difficulty. A bot program is able to recognize that the content contains an image, but it has no idea what the image is.
* Required field.

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