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Center for Community Service and Justice
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Community Service
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Service Options:
One-Time Service
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CCSJ Home
Volunteer Interest Form
All areas marked with * are required
Last Name:
*
First Name:
*
Gender:
*
Email Address:
*
Campus Id:
*
MailStop Number/Campus Address:
Cellphone Number:
*
Class Year
2010
2011
2012
2013
Major:
Have you been involved in community service in the past four years?
yes
no
.
If yes, please check the items that describe your service experience:
Fulfilled school requirement
Fulfilled church requirement
Fulfilled club/organization requirement
Motivated by personal interest
.
Please choose the top 3 types of community service opportunities in which you are most interested:
First Choice of Community Service:
--Please Select--
Adult Literacy
Advocacy
Childhood Abuse/Neglect
Developmental/Learning Disabilities
Environment
Loyola/Govans Neighborhood
Group Service Opportunities
Health
Homelessness/Hunger
Latinos/Spanish Language
Housing
Immigration
Mental Health
Senior Citizens
Sports
Women
Youth, Education, and Tutoring
Second Choice of Community Service:
--Please Select--
Adult Literacy
Advocacy
Childhood Abuse/Neglect
Developmental/Learning Disabilities
Environment
Loyola/Govans Neighborhood
Group Service Opportunities
Heatlh
Homelessness/Hunger
Latinos/Spanish Language
Housing
Immigration
Mental Health
Senior Citizens
Sports
Women
Youth, Education, and Tutoring
Third Choice of Community Service:
--Please Select--
Adult Literacy
Advocacy
Childhood Abuse/Neglect
Developmental/Learning Disabilities
Environment
Loyola/Govans Neighborhood
Group Service Opportunites
Health
Homelessness/Hunger
Latinos/Spanish Language
Housing
Immigration
Mental Health
Senior Citizens
Sports
Women
Youth, Education, and Tutoring
© 2009 Center for Community Service & Justice
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