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Volunteer Application Form
St. Louis Health Equipment Lending Program
Name
*
First Name
Last Name
Volunteer Location
*
Olivette (St.Louis)
Crystal City (Jefferson County)
Are you in high school?
*
Yes
No
Available Days to work:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Languages spoken
*
English
Spanish
Bosnian
Arabic
Other
Skillsets or Area of Interests
Skills
*
Office
Greeter/Phones
Organizing inventory
Building and Renovating
IT
Driving
Fund development/special events, other
Legal Advocacy
Repair, clean equipment
Other
Phone Number
*
E-mail
*
example@example.com
Name of Business (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact preferences
Email
Phone
Mail
it is ok to request donations
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