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Boston Project Rebound Re-entry Services, Inc. Volunteer Application Form
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Email
*
Your email
BPRRS BOUNCING STAR
What is today's Date?
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MM
/
DD
/
YYYY
Name, (Last First,Mi)
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Your answer
Please Enter your Date of Birth (Must Be 21+)
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MM
/
DD
/
YYYY
Current Street Address
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Your answer
City/State/Zip Code
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Your answer
Current Phone Number (we can reach you at)
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Your answer
Current Email Address
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Your answer
What Race A Do you Describe yourself as?
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Your answer
What Sex Do you Describe yourself as?
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Your answer
Emergency Contact Person Name
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Your answer
Emergency Contact Person Phone Number
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Your answer
Volunteer Availability (Time of Day)
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Am
PM
Afternoon
Required
Volunteer
Availability (Day)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (Closed)
Sunday (Closed)
Required
Have you ever volunteered Before?
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Yes
No
If Yes, What was your Volunteer Position?
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Your answer
Please description of your responsibilities?
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Your answer
What talents, Interests, Skills, and/ or Training do you have that you feel could be Beneficial?
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Your answer
What BPRRS
Volunteer Position
are you interested in below?
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Board of Directors.
literacy and Educational Programs
Life Skills
Job Skills
Drug and Alcohol Rehabilitation
Education Programs
Support groups
Peer Navigator
Assist BPRRS Staff with Administrative Duties
Internship
Restorative justice programs
Marketing (outreach)
Other
If Other, Please write it here
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Your answer
Have you spend any time in a Correctional Facility? (NOTE: This will not stop you from volunteering with us)
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AS INMATE
AS VOLUNTEER
AS CONNECTIONAL OFFICER
AS CONNECTIONAL STAFF MEMBER (TEACHER, CASE WORKER, MEDICAL STAFF, GYM STAFF, ETC. )
Do You have any Open Court Cases
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Yes
No
Have you ever been On Parole or Probation?
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Yes
No
Do you have a Drivers License?
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Yes
No
Are you Currently Employed?
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Yes
No
What field are you currently employed in?
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Your answer
How long have you been employed in this field?
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Your answer
Is there anything else you would like to tell us about yourself?
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Your answer
How do you see yourself helping BPRRS, and the people we serve, succeed at fulfilling our mission?
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Your answer
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