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2. First Name*
3. Last Name*
5. Address
7. City
8. State
9. Zip Code
11. Email*
12. Phone*
13. Date of Birth*
    Date of Birth
15. Emergency Contact First Name*
16. Emergency Contact Last Name*
18. Valid Driver's License

    If you have one, please attach a copy.

19. Employment Status*

    1. Full-Time
    2. Part-Time
    3. Student (16 or older)
    4. Retired/Unemployed
21. How did you hear about the Main Street Fayetteville?
23. How long have you lived/worked in Fayette County?*
25. Why you are interested in volunteering?*
27. Any special skills applicable to Main Street?
29. Any physical limitations?*

    1. Yes
    2. No
31. Previous volunteer experiences?
33. Available volunteer hours each month*

    1. 1 to 5 hours
    2. 5 to 10 hours
    3. 10 to 15 hours
34. What's your availability?*

    1. Weekdays
    2. Weekends
    3. Evenings
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field