Economic Relief Volunteer Application
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First Name (name you go by) *
Last Name *
Legal Name (if different from above name(s))
Date of Birth *
MM
/
DD
/
YYYY
Cell Phone Number *
Street Address *
Please Provide " # Street, City, State, and Zip code"
Email Address *
Please tell us how you were referred to Pisgah Legal Services *
Please indicate your experience & training as it relates to working with the public *
Please indicate your experience & training as it relates to computer skills *
Please check the days and times that you prefer to work (check all that apply) *
Required
Please check the counties you can work in when the program is not remote: *
(check all that apply)
Required
What role interests you as a volunteer? *
(check all that apply)
Required
What do you hope to get out of volunteering in this role?
Signature *
By signing below I attest that I have reviewed the Volunteer Job Description(s) and can perform those duties and meet those expectation, and I acknowledge my understanding that I must complete a background check and training/certification process prior to serving as a Volunteer, and I give my permission to Pisgah Legal Services to initiate a background check on me.
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