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Volunteer Center of Otsego County
116 E. Fifth Street, Box 7
Gaylord, MI 49735
(989) 705-8584
Volunteer Application Form
Name: First_______________Middle____Last___________________
Address: __________________________________________________
City: ________________________State:______ Zip:____________
E-Mail Address:
Work _______________________ Home _______________________
Primary Phone:
________________________ Work
________________________ Cell
________________________ Home
Message Phone:
______________________________ Friend __ Family Member __
FAX Number:
____________________________________ Home __ Business __
How would you prefer to be contacted? ___Phone ___ E-Mail
Gender: ___ Male ___ Female
Birth Date: __________________
Month / Day / Year
Education Level:
___ Current Student
___ High School Graduate or GED
___ Bachelors Degree
___ Masters Degree
How Did You Hear About Us?
___ Newsletter ___ Website ___ E-mail ___ Friend
___ Public Service Announcement(Radio, TV, or Newspaper)
___ Other: ________________________________________________
High School Graduation Year:_______
High School(current students only)_________________________
Volunteer Agreement:
___I understand all volunteers over 18 are subject to a background check
___I accept the Privacy Policy and I am over the age of 13.
___I permit photographs or images of myself to be taken and published for Volunteer Center use.
Signature______________________________ Date_______________
Parent Signature_______________________ Date_______________
(Required for minors)
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