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Account information

Username *

First name *

Last name *

Email *

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Password *

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Miscellaneous Information

Are you looking for a United Way funded agency? Yes    No

Are you looking for a leadership level position? Yes    No

Are you interested in becoming a Board Member? Yes    No

Are you looking for a service learning opportunity? Yes    No

Do you speak another language? Yes    No

Do you have any physical limitations? Yes    No

Are you willing to help out the community in the event of a disaster? Yes    No

Are you looking for an agency that has opportunities for the disabled? Yes    No

Local contact information

Phone (including area code)

Street Address

City

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Postal Code

Personal web page

Preferences

 

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To help us offer better services, would you answer a few more questions about you? * Yes      No

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The inclusion of any organization or person in this database does not constitute a representation, warranty, or endorsement with respect to the competence, suitability, or reliability of such organization or person by The Mid-Fairfield County Volunteer Partnership; nor does The Mid-Fairfield County Volunteer Partnership sponsor or endorse any third-party web site. Legal Notices