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26
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1
Name
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First Name
Last Name
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2
Birthdate
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Date
Month
Day
Year
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3
Email Address
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example@example.com
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4
Address
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Street Address
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City
State / Province
Postal / Zip Code
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Afghanistan
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Botswana
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Brunei
Bulgaria
Burkina Faso
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Cameroon
Canada
Cape Verde
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Chad
Chile
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Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
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Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
Ecuador
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Ethiopia
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Finland
France
French Polynesia
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The Gambia
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Ghana
Gibraltar
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Guinea
Guinea-Bissau
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Daytime Phone
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Please enter a valid phone number.
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6
Evening or Cell Phone
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7
Preferred Method of Contact
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Email
Text
Phone
Messenger
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8
Emergency Contact
*
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First Name
Last Name
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9
Emergency Contact Phone
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10
T-Shirt Size
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XS
S
M
L
XL
XXL
XXXL
XS
S
M
L
XL
XXL
XXXL
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11
Do you have any degrees or certificates?
Please List
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12
Are you a College Student
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Yes
No
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13
If yes, what college do you attend?
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14
Current occupation
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15
Job Title
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16
Which topics do you have experience, training, or education?
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Education/teaching
Construction
Office Assistance
Newsletters
Equipment Manager
Fundraising
Auctions
Grant Writing
Window Installation
Outreach & Communications
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17
What area of volunteering are you most interested in helping with?
*
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Education/teaching
Construction
Office Assistance
Newsletters
Equipment Manager
Event Volunteer
Board Member
Fundraising Committee
Construction Committee
Auction Committee
Grant Writing
Outreach & Communication's Committee
Building Kids Program
Window Installation
Other
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18
What types of volunteer experience do you have? (Please include any volunteer or community service you have done. Specify number of years involved and any leadership roles.)
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19
Why do you wish to volunteer with Building Beyond the Walls?
*
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20
What days of the week are you typically available to volunteer?
*
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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21
What hours are you typically available to Volunteer?
*
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8-10 am
10am - Noon
Noon - 3pm
3-6pm
Evenings
Other
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22
How did you hear about Building Beyond the Walls Construction Training and Volunteer Program?
Email Notice
Newsletter
Newspaper
Word of Mouth
Flyer
Facebook
Craigslist
Other
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23
This program is designed to be all-inclusive. We are committed to providing meaningful opportunity for all abilities. Please list any disabilities you may have. Your information is confidential but essential to providing a safe and valuable opportunity. If you have a need for any accommodation, please let us know how we can assist you.
Deaf/Hearing Impaired
Mobility
Speech/Language
Learning Disability
Blind/Visual
Chronic/Acute Health
Neurological/Nervous System
Psychological/Emotional
Other
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24
Do you have any medical conditions we need to be aware of?
Please list
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25
Do you have any diet restrictions?
Please List
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26
Some volunteer position may require a background check. Are you willing to allow a background check, if necessary?
Yes
No
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