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Lamp Post General Application
Please fill out this application to your best ability. Your contact information will be kept confidential. The Lamp Post is located at Oakdale Neighbors Kalamazoo SE Grand Rapids MI 49507.
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Email
*
Your email
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is your birthdate?
*
Your answer
I would like to participate in or hear more information about :
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School year tutoring (1st through 12th grade)
Community Garden
Play and Learn (toddler- five year olds)
Lamp Post community meetings
Lamp Post adult education classes (computers etc)
Free Libraries
Volunteer
Other:
Required
What is the primary contact's cell phone number?
*
Your answer
What is the primary contact's email address?
*
Your answer
Do you use any other form of contact? (Facebook, Whatsap etc) what is the app and name on the page?
Your answer
What is your address?
Your answer
What school does your child attend?
Your answer
Is English a second languare for you?
Yes
No
Clear selection
What is your goal? How can we come alongside you to have success with that goal?
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Your answer
What is one goal for serving in the community?
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Your answer
I am available for classes or meetings:
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Monday
Tuesday
Wednesday
Thursday
Required
I have access to a computer:
Yes I have a computer with internet and web cam
No I do not have a computer
No I do not have internet
Other:
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