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College Volunteer Paperwork 2023-2024

First Name *

Last Name *

Preferred Name

What is the name of the school or parish group with whom you are attending? *

Address 1 *

City *

State *

Zip *

Phone *

Email *

Gender *

With which racial and ethnic group or groups do you most identify? Please select all that apply.

American Indian
Alaskan Native
Asian
Hispanic, Latino, or Spanish Origin
White
Middle Eastern
North African
Black or African American
Native Hawaiian or Other Pacific Islander
Another race or ethnicity not listed above
Prefer not to Answer

Participant Status *

Birth Date *

// (mm/dd/yyyy)

Have you been to Nazareth Farm before?

Yes
No

Please list and explain any medical/food allergies.

Please list and explain any dietary restrictions and/or any strong dietary preferences.

Please list any medications that you are currently taking. If they are time sensitive, please list what time(s) they must be taken.

Please list special concerns here, such as: Limitations to physical labor; emotional or psychological conditions (you will not be required to perform any task you are able to do for whatever reason).

Neon CRM by Neon One

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College Volunteer Paperwork 2023-2024