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Millcreek Volunteer Application

2. First Name*

3. Last Name*

5. Address*

7. City*

8. State*

9. Zip Code*

11. Phone Number*

12. Ethnicity

13. Gender

15. Email Address*

17. Profession

18. Years in Profession

19. If a Teacher, What Subject(s)

21. Specialty Knowledge or Hobby

22. Other Pertinent Information

24. Languages Spoken

25. Languages Written

27. Languages You Can Translate From English

29. Computer/Tablet Experience*

    1. None
    2. Moderate
    3. Proficient
30. Social Media Experience*

    1. None
    2. Moderate
    3. Proficient

32. How Many Hours a Week Could You Be Available as a Volunteer?*

34. Areas of Interest

    1. Arts Council
    2. Community Council
    3. Envision Committee
    4. Planning Commission
    5. Promise Program
    6. Promise Program Health Sub-Committee
    7. Promise Program Safety Sub-Committee
    8. Promise Program Education Sub-Committee
    9. Promise Program Economic Wellbeing Sub-Committee
    10. Recycling Committee
    11. Other

35. If Other, Please Explain

37. Disclaimer
    Thank you for your interest in being a volunteer for Millcreek. Completing this application does not guarantee that you will be placed on a committee or board. You will be contacted regarding any committee or board opportunities. If you agree to serve as a volunteer you will be required to sign a Volunteer Contract, a Disclosure of Private Business Interest form, and will be asked to review and comply with Ethics, Sexual Harassment, and Discrimination Prevention policies, and may be subject to a background check.

    Thank you for your interest in being a volunteer for Millcreek. Completing this application does not guarantee that you will be placed on a committee or board. You will be contacted regarding any committee or board opportunities. If you agree to serve as a volunteer you will be required to sign a Volunteer Contract, a Disclosure of Private Business Interest form, and will be asked to review and comply with Ethics, Sexual Harassment, and Discrimination Prevention policies, and may be subject to a background check.

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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field