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Home
About Us
Our Mission
Meet our Founder
Get Involved
Programs
Our Voice Registration Form
MDC Inc. Volunteer Application
Betty L. Gooch Scholarship Fund
Our Donors & Sponsor
Upcoming Events
Just Me! Shop
Contact
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MDC Inc. Volunteer Application
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Name
*
First
Last
Address
*
City
*
State
*
Zipcode
*
Phone Number
*
Email
*
Availability (select your top 2 choices):
*
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Area(s) you are interested in volunteering:
*
Events
Field Work
Fundraising
Dress Drive
Clerical
Newsletter
Volunteer Coordination
Special Skills or Qualifications
*
Summarize special skills or qualifications that you have acquired from employment, training, etc...
Previous Volunteer Experience
*
Summarize your previous volunteer experience and duties.
Have you ever been convicted of a felony or any crime against a minor?
*
Yes
No
Emergency Contact
*
First
Last
Emergency Contact Phone
*
Electronic Signature & Date
*
By signing (electronically) and dating form, I affirm that the facts set forth are true and complete. If accepted as a volunteer, any false statements, commissions, or other misrepresentations made by me, may result in my immediate dismissal.
GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
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