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Marlene Meyerson JCC Manhattan Volunteer Registration Form - Virtual Tutoring, School Year 2020 - 2021
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NAME:
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Your answer
EMAIL ADDRESS:
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Your answer
CELL PHONE:
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Your answer
HOME ADDRESS:
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Your answer
ARE YOU UNDER THE AGE OF 18?
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Yes
No
NAME OF SCHOOL (HIGH SCHOOL OR COLLEGE, if applicable):
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GRADE IN FALL 2020 (HIGH SCHOOL OR COLLEGE, if applicable):
Freshman
Sophomore
Junior
Senior
Other:
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NAME AND EMAIL ADDRESS OF COMMUNITY SERVICE ADVISOR (if applicable):
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HOW DID YOU HEAR ABOUT THE JCC LITERACY + MATH PROGRAMS?
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Your answer
PLEASE LIST SPECIAL SKILLS, INCLUDING LANGUAGES, PAST VOLUNTEER EXPERIENCES, OR ANY OTHER RELEVANT INFORMATION:
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Your answer
EMERGENCY CONTACT NAME
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Your answer
EMERGENCY CONTACT PHONE NO.:
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Your answer
EMERGENCY CONTACT EMAIL ADDRESS:
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Your answer
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