Seymour Main Street

Please complete the information below and submit your application.

Name(*)

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Address(*)

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City(*)

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State(*)

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Zipcode(*)

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Email(*)

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Phone(*)

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Community Affiliations (Clubs,Service Organizations)

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Are you 18 years or older?(*)

Yes

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Have you been convicted of a crime in the last 7 years?(*)

Yes

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If Yes, Please explain

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(Note: No applicant will be denied opportunity to volunteer solely on the grounds of conviction of a criminal offense. The nature of the offense, the surrounding circumstances and the relevance of the offense will may, however, be considered.)

When are you available for volunteer assignments?(*)

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Please include the days/times of the week you're available to volunteer.

Special Skills or Qualifications

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Skills and qualifications can be acquired through employment, previous volunteer work, or other activities such as hobbies or sports. What skills or qualifications do you have as a volunteer?

Waiver Policies

By completing and returning this application, I am asking to be considered for a volunteer position with Seymour Main Street. In the event that I become a volunteer, I agree to abide by the policies of Seymour Main Street at all times, and I promise to perform the tasks mutually agreed upon.

Acknowledgment(*)

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Captcha

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Become a Seymour Main Street Volunteer

Waiver Policies