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............ Access Technology Initiative
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Volunteer Application Form

Volunteer Application Form

Please fill out the following information and press the SUBMIT button.

*Name or Nickname
*Email Address
*Address
*City
*State
*Zipcode
*Phone
Fill in the person to be notified in case of accident or emergency.
Emergency Contact
Emergency Phone
Please list the type(s) of volunteer positions you are interested in such as:
Volunteer Position

Administrative Clerical

Website Testing

Website Research and Writing

Newsletter Writing

Computer Skills Instructor

Computer Refurbishing

Computer Pick up/Delivery

HTML editing

Marketing

Public Relations

Fundraising

Grant Writing

Advocacy

Availability
Reference 1
Reference 1 Phone
Reference 2
Reference 2 Phone
Reference 3
Reference 3 Phone
Experience