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The President's Volunteer Service Award (PVSA) Application Form
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* Indicates required question
Email
*
Your email
Applicant Last Name (Legal English Name)
*
Your answer
Applicant First Name (Legal English Name)
*
Your answer
Applicant Gender
*
Male
Female
Applicant Immigrant Status
*
US Citizen
Permanent Resident
Applicant Date of Birth
*
MM
/
DD
/
YYYY
Applicant Mailing Address
*
Your answer
Applicant Phone Number
*
Your answer
Service Period (Award Year: April 2023 - April 2024)
*
Choose
April 2023 - April 2024
Total Service Hours Reported In This Application:
*
Your answer
Which award are you applying for?
*
Bronze
Silver
Gold
Acknowledgement
*
I understand that a background check may be conducted. I authorize investigations of all statements contained in the application. I agree to observe all guidelines and policies of Yuren Chinese School.
Required
Declaration
*
By submitting this form, I declare that all statements contained in this application are true and that any imsrepresentation or omission is cause for rejection of my application or dismissal from my volunteer involvement.
Required
A copy of your responses will be emailed to the address you provided.
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