Volunteer Intent to Return Form

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Nameyour full name
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Phone
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Volunteer statuscheck all that apply
Do you intend to return for the next school session?check all that apply
If available later, when do you plan to return?month and year
If you do not intend to return, please provide the reason(s).
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What are your current volunteer roles?check all that apply
What is your current schedule?include class name or 1-on-1 student name with meeting location
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Do you want to make changes to your schedule?include preferences for day & time
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Are you interested in other volunteering opportunities ?list preferences and availability
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Commentsinclude any questions or other feedback
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© 2013-2019 Culpeper Literacy Council • 415 South Main Street, Suite 204 Culpeper, VA 22701 • P: 540-825-5804 • F: 540-825-4069
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