Nickname, if any
Best Time To Call
In which Village do you live?:
List skills you could offer to the POA on a volunteer basis. Please be specific. In the box below list all that apply, use a comma between each. THANKS
In this box list organizations where you have volunteered, and what you did there. Use separate line for each listing.
Can you offer The POA at least 4hrs. a week?
"if not, How Many?"
Are you available in the evening the Third Tuesday of each month for the POA Membership Meetings?
Question or Comment
Thank you for your interest in helping your POA
Should be Empty:
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