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Volunteer Application

Dedicated to supporting and empowering individuals living with HIV/AIDS.

Contact Information


Contact Information

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How Should We Contact You?*
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Would You Like To Receive Our Email Newsletter?*
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Availability


Availability

What Days Are You Able To Volunteer?
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Interests


Interests

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Related Experience


Related Experience

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Do You Have Any Past or Present Conviction/Arrest Charges?


Do You Have Any Past or Present Conviction/Arrest Charges?

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Person to Notify in Case of Emergency


Person to Notify in Case of Emergency

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Signature


Signature


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By submitting your signature, the parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

E-signature image
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It is the policy of PATF to provide equal opportunities without regard to race, color, ancestry, religion, sex, gender presentation, sexual orientation, age, national origin, citizenship, disability, or veteran’s status. Speakers are required to submit a request for criminal record check and obtain Pennsylvania child abuse history clearance (Acts 33 and 34).

Volunteering with the Speakers Bureau


Volunteering with the Speakers Bureau

If you're interested interested in giving presentations with the Speakers Bureau, please answer the following additional questions:
Do you have previous public speaking experience?
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