Volunteer Guardian Application Page 3

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Education:
High School
College
Graduate?
Yes
No Degree in:
Post College Study?
Degree in:
Are you presently enrolled in school?
Yes
No
If yes answer below.
School
Course of Study
Can you commit at a minimum of one year to the program?
Work / Life Experience and Skills: Mark all that apply and describe briefly
Art / Graphic Design
Education
Church work
Social Work
Counseling / Psychology
Community outreach
Children’s issues
Writing
Public speaking
Mental Health / Substance abuse
Advertising / Public relations
News / Media
Other
Medicine / Healthcare
Law enforcement / Criminology
Specify
Current Employer:
Company Name:
Address:
State:
Zip
Code:
City:
Your work
Phone:
Position:
Supervisor Name
Supervisor
and Address
Phone:
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