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Volunteer Application

Multi-line address
Birthday
Tag
Monat
Jahr
Gender
Male
Female
I'm interested in serving in the following areas

Application needs at least one choice

Summer Instructors: I'm interested in instructing the following programs....(German-Speaking)

Preferable if you've already participated in a summer program or Bible School/Upward Bound

How would you describe your English?
T-Shirt Size
Do you suffer from any disability which would limit you doing practical duties?
Yes
No
Have you had any mental illness at any time?
Yes
No
Have you suffered from, and had treatment for, anorexia or bulimia?
Yes
No
Do you have diabetes, epilepsy, blackouts or other medical problems?
Yes
No
Do you require any regular-prescribed medicine?
Yes
No
Do you require a special diet? (please specify)
Yes
No
Have you used tobacco, alcohol or narcotics (including marijuana) in the last year?
Yes
No
Do you have any allergies? (please state medication)
Yes
No
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