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2. Name:*
3. Organization/Group:
5. Phone Number:*
6. Email Address:*
8. Reason for wanting to volunteer:
10. Do you have any criminal charges currently pending?*

    1. Yes
    2. No
12. If yes, please explain:
14. Are you on parole or probation to include deferred adjudication?*

    1. Yes
    2. No
16. If yes, please explain:
18. By selecting the box below, I certify that the answers given in this application are correct and complete.*

    1. Agree
20. How many volunteer hours are you looking to complete?*
    -- Select One --Less than 66 - 1213 - 2020+Continuing basis
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field