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VOLUNTEER DATA FORM
This form is designed to help both CMUS and you derive the greatest benefit from your willingness to serve as a volunteer. As much as possible, CMUS wants to be able to match your interest, skills and availability with the many ways you can help CMUS serve our community. Information about your mediation-related training and experience, as well as other volunteer activities, will enable CMUS to develop and maintain an automated database that will help you stay connected to CMUS. Should any of the information on this form change, please notify CMUS.
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Indicates required field
Date completed
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Mobile Phone
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Optional
Email
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Gender
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Male
Female
Optional
Birth Date
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Race/Ethnicity
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Optional
Education Level
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Optional
Languages and proficiency
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Optional
How did you become aware of CMUS
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Why are you interested in becoming a volunteer with CMUS
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When are you available for volunteering at CMUS (You may check multiple days and times)
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Daytime
Evenings
Weekends
Where are you able to mediate (Check all that apply)
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Cecil County
Kent County
Queen Annes's County
Comments, please include any mediation training and experience that you have as well as any other skills or interests that you have in areas such as, but not limited to: board membership, community outreach, computer assistance, fundraising, intake, mediation, website/newsletter, training assistance, other
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