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Contact Information

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Availability

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Weekday Afternoon
Weekday Evening

Weekday Morning
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Interests

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Administration
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Phone Bank
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Volunteer Coordination

Special Skills or Qualifications

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Previous Volunteer Experience

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Person To Notify In Case Of Emergency

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Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Date 10/13/2024

105 S. Main St. Eudora, Arkansas 71640

Email Address: info@LilJacob.org

Phone: 870.355.2787

Fax: 888.505.9353

Mailing Address

P.O. Box 212 | Allen, TX 75013

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