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REQUEST FOR VOLUNTEERS Community Outreach Office Todays Date_____________ Agency Name_____________________________________________________ Person Completing form_______________________________________________ Title_______________________________________________________________ Mailing Address_____________________________________________________ Email Address _______________________________________________________ Website Address _____________________________________________________ Telephone_________________________Fax Number_______________________ Name of Event or Ongoing Experience____________________________________ Starting Date________________ Ending Date_______________________ Volunteer Position___________________________________________________ Site of Volunteer Experience___________________________________________ Volunteer Job Description (be specific)___________________________________ __________________________________________________________________ __________________________________________________________________ Skills needed_______________________________________________________ __________________________________________________________________ Number of Volunteers Needed_________________________________________ Days of the Week and Time of Experience________________________________ __________________________________________________________________ Do Volunteers require Child Abuse Clearance ?_______________________ If so, are they paid for by your agency? __________________________________ Type of Training and/or Orientation Provided______________________________ __________________________________________________________________ Please return to: The Community Outreach Office Ӱԭ DeNaples 205B Scranton PA 18510 * Fax 570-941-4110 or email judgee2@scranton.edu `Vûh*A~h.05>*OJQJ\h.05OJQJ\h.0OJQJ h.0CJ h+rh.0 h.0\^Jh+rh.0CJ$aJ$h.0jh.0Uh|Q h:g6h.h.61 w  H  l E  S gd.0 H$a$gd.0 #hBCVtgd.0$a$gd.0. 00P/ =!"#$%8Dd 0  # Ab 8$Wy-j= ۊ7Dn7$Wy-j= ۊPNG  IHDRRTU]sRGBIDATx^]EuMOHBM)EPA7Q__{⦆b]|vł+";$M~9f8nMۈrXn=wΜ93h4GrZV9WLIR l2@KR4-9U~U9}>W8(DPAB,rj |"x<~UWg>sttX,x;8zgg'6NxJ,;_QCn9Rh9" *777[R}뭷2Nc!ϔaP938?#z{{_jAQXϬ*&g`ϼﴽ( AsEwy.===:MO>8. _׾H rϜs>};jr1t:3|~8A_pB0OVH֙'`duddd֭O~͛ǕUVْ{P{]_Wܯ|+=N84K3f^j T⅘~[(=ZF }K? m$H(? ;::*+U_A+9J 9N[- !R9g}.r< 9-'0!|?p(>/ 'ݾ۞D9Ec4@}3'/[̜9sx~+[{\hZh#ё}= eAik{,TXC9OWÓpyf>!Ϡ9nqg W@L̮s9MN(Rࣣ9E< (%xrpa1Z(ȊO:("oΣ9ٰa*>WtCVۘx0LG3oW==('zÂR_|wpgu֯k'?P/93*W,K7IꋳE9ʷ?)O?'q/p + 8[z^.` # WX`@uY3@޾u|ftT<:2ⶰu-7-7m(wGL`0?>(m,L9t.vBw.-wp %/C[VRXf]gzܩz7kF*r CGN晴4[/q}a)$Nqg=Y(:9ǜDm(`5lKp{/ZClΓI`(a]>#c^K,@S|-{QDRFUrcoꝙuMc慩_@X+ТJx]m^V;45_0kEUYz(7* 8]-|"XV_"lQc5O!6O$|˖-fOQKMzģH/5ci<‚K#g@~iIxy )sh> 9ǟ)+RUDEG_0ew U^6No14gy&H]x:HשFSYr%W.,g?+]CEk WWU?AK׍IӮ$ՍPL.Z|/w|o!8 [}鰿B8~(}OTEH]Q-tEC_Wr$P&O:R^~PtI蝈2aqK:}i#-ܡvZ+5%VKtnQ@3}1<} y@ 7@{ SQ. _iJ3Y[DYvudA9\n֮'{$By__ w@#.H|(=xB}d< "яG<2ZXHw`P5BSo0lB/\@ $[_P |{ߣ$V]`*_:h4k 5c)'} uwP$8^8@ cl>ۦ>[MF x/} A$Ǡ~+_rk ( k2:ȵXèؠiH8`T 8?I*KRq`ƚBy"GH2Dx+o|m2>t)?-Fi󈇻w@JcaB) ېHh c}m"([[ug?C`]@^]5-eU( )alj-4vKC!G׽utUyR}H2!VJV .>ᮐ6FB/༡aD*iDh hc`0܂*1]V͖IIO_ s .'"xiWqVre\ʃ$x6M1x%w ;=Ժ0gy5֨{G_gr#$RS^j xk<4%1WhY G;PȨG?:LwFbPwp |`cݿ&-ݫr]M7Dᩙ S\pAzO,GL=RRM}'q F6MNʅAx+\1\A$6R%\"޲vk ŮIG%i*/j]9+&&^ySYU[콗ק$<Zht8NA_qi{"\m+ωOZoqu¹+ja', ui-/x Dլs&ژ[nzb6 bW p9$Nrgsx۬A䥘Fjv:'u =m>W3x˷ᾱ3ɆC$< -bD$ \H8[ĨUjW\qG+$ ގXyl,#0̨S?uCЊ!ct _z!X{j}9Ojj!6WGZ㼫#0[l!}2l ?7}3kxX000Wt(mDV`uwLTҟXէg(NxhSPӆd/VD!o}[=<0Z",Ob)cv`(vY16|Z_h>ŢY/I?b:w j\M4ϒvS$1ѫDxluvPX )++_"DHٙl+Tp}sʗMI/oa(WSW)[ۥR Vs!ëu78:Ipӂ5҇9I‰+9JS"ȍ -*)BHI§T Ȧo:F A:{דInN:WUd܋EM+.i)| GAtWl4n{]J'(7kONK*>[B! 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