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Registration: Durham Wayfinders
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APPLICANT INFORMATION
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First Name
*
Last Name
*
Email
*
Address
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City
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State/Province
(AA) Armed Forces Americas
(AE) Armed Forces Europe
(AP) Armed Forces Pacific
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Minor Outlying Islands
Utah
Vermont
Virgin Islands of the U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip/Postal Code
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Primary/Home Phone
Other/Work Phone
Mobile Phone
ADDITIONAL INFORMATION
Position Volunteering for
Date Available
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Available Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours Available
Daily Mornings
Daily Afternoons
Daily Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Are you able to work outside of standard work hours if necessary? (currently 8am - 5pm)
Yes
No
How did you hear about this position?
Please Select
Google
CareerBuilders.com
Employment Security Commission
The Herald Sun
Friend/Relative/Associate Referral
Other
If Referral, who
Your Age Range (Under 16 must be accompanied by an adult))
Please Select
Under 16
17 - 29
30 - 39
40 - 49
50 - 59
60+
Tell us a little about yourself
List skills and qualifications relevant to the position applying for
Have you ever pled guilty, or no contest to, or been convicted of, a misdemeanor or felony?
Yes
No
If Yes, please give the date(s) and details
Have you been arrested for any matters for which you are out on bail or on your own recognizance pending trial?
Yes
If Yes, please give the date(s) and details
Have you ever been in the Military Service?
Yes
No
If Yes, give type of discharge
Please Select
Honorable
General
Under Other Than Honorable Conditions
Bad Conduct
Dishonorable
Entry Level Separation
Retired
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