DIVERSITY THROUGH ARTISTRY (DTA)
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current zip code
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Gender
Female
Male
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College
Please Select
COTC
Ohio State Newark
Rank in college
Please Select
Freshman
Sophomore
Junior
Senior
CCP
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What would you like to learn from this experience?
List any special hobbies, talents or skills.
What languages do you speak fluently?
Do you have any experience working with children?
Why do you want to volunteer?
What is your favorite form of art?
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Have you ever been convicted of a crime? You may omit any traffic offenses, dismissed charges, expunged charges, convictions more than two years old, and misdemeanors
Yes
No
Advisory: I certify that all information that has been provided is true and complete. I understand that if any false information or omissions are discovered that my application will be rejected and volunteer status will be terminated at any time. I agree with this advisory and the clauses it contains. Type your name in the space provided.
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