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Chaverim of Baltimore Dispatcher Application
Application for position of a dispatcher with Chaverim of Baltimore
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Your Availability
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Morning
Daytime
Evening
Night
Weekend
Required
Occupation & Employer
*
Your answer
Do you have access to a smart phone with WhatsApp?
*
Yes
No
Other:
Reference 1 (name and phone number)
*
Your answer
Reference 2 (name and phone number)
*
Your answer
Are you part of any other volunteer organization?
*
Your answer
Comments
*
Your answer
I, the above mentioned verify that all information on this application is correct and that any equipment (i.e. radios, Chaverim identification), if ever the need, will be returned at the request of Baltimore Chaverim.
*
Yes
No
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