Please list any committees or boards that you have served on (business, civic, community, fraternal, political, professional, recreational, religious or social). Include organization and role.
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Please list your educational, training or certification accomplishments pertaining to this work.
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Skills, experience and interests (Check all that apply)
What are the most convenient times for you to meet with fathers? Check all that apply. *
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Do you speak any languages other that English? If so, which languages? *
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Would you be willing to work with a father with disabilities? If so, what disabilities would you work with? *
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What are some favorite things you like to do with other people? *
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What are your favorite subjects to read about? *
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What is your job and how did you choose this field? *
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What is one goal you have set for the future? *
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If you could learn something new, what would it be? *
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What person do you most admire and why? *
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Have you received any awards or honors that you'd like to mention?
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How do you feel My Brother's Keeper of Greater Richmond would benefit from your involvement with organization? *
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List any groups, organizations or businesses that you could serve as a liaison to on behalf of My Brother's Keeper of Greater.
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Please provide the names and contact information of three references. *