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APPLE BLOSSOM TYME FESTIVAL - Volunteer Application Form

Name:_______________________________________________________________ M /F

Home Address: _____________________________________________________________

_______________________________________________ Postal Code: _____________________

Telephone:_____________________ Cell Phone:_________________________________________

Fax:________________________ E-Mail:_____________________________________________

Business Address: _________________________________________________________________

_______________________________________________ Postal Code: _____________________

Telephone:_____________________ Cell Phone:________________________

Fax:________________________ E-Mail:___________________________

Please circle your preference for correspondence.

School Name:____________________________________________________________________

(If currently a student)

Program/Grade:_________________________________________________________________

Personal Information: Please note that personal information will be used only for

statistical purposes and will not be shared. Please circle your current age category:

Under 18 years18-30 years31 - 50 years51 - 65 years 66 + years

Emergency Contact:

____________________________________ Telephone:___________________________________

Experience, Skills, Abilities and Interests:

Please indicate any languages, other than English, in which you are fluent:________________________

Work and/or Volunteer Experience: Please indicate organization, position, duties, dates

and any areas of special interest.

Some positions may require that you successfully complete a criminal record check on an annual

basis.