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Introduce Yourself
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First Name
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Middle Name |
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Last Name |
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Birthday |
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Gender |
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Contact Information
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Email Address |
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Confirm Email Address |
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Street Address |
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City / Town |
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State / Province / County |
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Post / Zip Code |
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Country |
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Phone (Work) |
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Phone (Home) |
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Health and Safety
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Your safety is important to us. In case of an emergency, who should we contact?
(Please include name, relationship, and appropriate phone numbers)
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Do you have any dietary or health conditions we should know about?
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Volunteer Placement
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Select your first choice project |
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Second choice |
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Third choice |
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How many weeks do you plan to volunteer for? |
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When do you plan to start volunteering? |
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Have you ever volunteered? |
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What activities did you join in? |
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Why are you interested in the projects you selected? |
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How did you hear about Volunteers in Vietnam? |
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Feel free to include questions or comments in the space below. |
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I have read and accept the terms and conditions.
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