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Board and Committee Application

Please list boards and committees that you served on, or have served on.

Business, civic, community, fraternal, political, professional, religious, social.

Skills, Experience and Interests

Please check all that apply

What time of day is best?

List two persons not related to you who can speak to your qualifications for this position. If you have previous experience as a volunteer, list one reference from that organization.

Relationship to you:
Relationship to you:
In making this application for volunteer service to Family Promise Mid-Willamette Valley, I express my understanding that all associates of Family Promise MWV, volunteer and employed, are bound by the regulations, policies, procedures, and laws that govern Family Promise. I certify that all information provided on this application is true and complete. I give permission to Family Promise staff to contact my listed references and the organizations listed in my experience section as well as complete a criminal background check. I understand that falsification or significant omissions of any information may be considered justification for dismissal if discovered at a later date. I give Family Promise permission to use my photograph, voice, or image, with or without my name, both singly and in conjunction with other persons or objects for publicity or recruitment purpose.
I hereby release, indemnify and hold harmless Family Promise of the Mid-Willamette Valley from any and all liability in connection with any injury (including any injury caused by negligence), in conjunction with my time volunteering with Family Promise.

Thanks for submitting!

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