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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. Policing Committee
    6. Promise Support Subcommittee
    7. Promise Program Health Subcommittee
    8. Promise Program Safety Subcommittee
    9. Promise Program Education Subcommittee
    10. Promise Program Economic Wellbeing Subcommittee
    11. Recycling Committee
    12. 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