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RAWK Service Learning Application
Hey future RAWKstar! This form is for folks who are volunteering with RAWK as part of their service learning requirements for course credit. If you are NOT a service learning student, please fill out the normal RAWK Volunteer Application
HERE.
If you have any questions about this form, please contact the Engagement Coordinator, Bri at
bri@readandwritekzoo.org.
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* Indicates required question
Full Legal Name:
for purpose of background check: please include First, Middle, and Last name(s)
*
Your answer
Preferred Name
Your answer
Other Names Used:
including unmarried name if applicable
Your answer
What School Do You Attend?
*
Choose
Western Michigan University
Kalamazoo College
Loy Norrix High School
Kalamazoo Central High School
Other
Date of Birth:
(xx/xx/xxxx)
*
Your answer
Email Address:
*
Your answer
Address:
Your answer
City:
Your answer
State:
Your answer
Zipcode:
Your answer
How long have you lived at this address?
This information is required for the background check process.
*
Your answer
Phone:
(xxx) xxx-xxxx
*
Your answer
Languages spoken (other than English):
Your answer
Pronouns:
(check any that apply to your identity)
she/her/hers
he/him/his
they/them/theirs
other
Emergency Contact First Name:
*
Your answer
Emergency Contact Last Name:
*
Your answer
Emergency Contact Phone Number:
(xxx) xxx-xxxx
*
Your answer
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