Start Your Application:
Please fill out the application carefully and contact jrichards@murphychamber.org if you have questions.
Personal Information
Full Name
First Name
Last Name
E-mail:
example@example.com
Phone Number:
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Award Information:
What type or award are you applying for?
Please Select
Kids (5–10 yrs.) Bronze 26–49 hrs
Kids (5–10 yrs.) Silver 50–74 hrs
Kids (5–10 yrs.) Gold 75+ hrs
Kids (5–10 yrs.) Lifetime 4000 hrs +
Teens (11-15 yrs.) 50–74 hours
Teens (11-15 yrs.)Bronze 75–99 hrs
Teens (11-15 yrs.)Silver 175–249 hrs
Teens (11-15 yrs.) Gold 100+ hrs
Teens (11-15 yrs.) Lifetime 4000 hrs +
Young Adults (16–25)Bronze 100–174 hrs
Young Adults (16–25)Silver 175–249 hrs
Young Adults (16–25) Gold 200+ hrs
Young Adults (16–25 yrs.)Lifetime 4000 hrs +
Adults (26 plus)Bronze 100–249 hrs
Adults (26 plus)Silver 250–499 hrs
Adults (26 plus)Gold 500+ hours
Adults (26 plus)Lifetime 4000 hrs +
Do you currently volunteer in the community regularly?
Yes
No, but I would like to learn more about local volunteer opportunities
Yes. But I would like to learn about more volunteer opportunities.
Other
If you have already volunteered at other organizations in the past year, please disclose their names below.
Skills & Education
School Name (if applicable):
Age
Why do you want to be considered?
What impact do you want to have on your community?
What are your interests and unique skills?
What careers interest you? (Please answer if you are under 21)
Do you have any medical conditions or allergies that would impact how you complete service hours?
Apply Now!
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