Community Service Application

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Full Name:
Email:
U.S. phone number:	( ) - Second three digits Last four digits
Event Volunteer Hours:	7/3 9am-12pm 7/3 1pm-4pm 7/4 9am-12pm 7/4 1pm-4pm 7/4 5pm-10pm 7/5 9am-12pm Select you the hours you would like to work.
Special requirements:	Examples: curfew, must arrive late/leave early, no heavy lifting, etc.
What is this for:	Treatment Court NHS or NJHS City Volunteer Other
I understand:	Not all hours are guaranteed. The City will attempt to accommodate all special requirements and requests. Please email asutton@weldonspring.org for questions or concerns.