Volunteer App

openm_test October 18, 2017
OPEN M Volunteer Application
Welcome to OPEN M! We appreciate your heart to serve and further our vision to break the cycle of poverty and improve the health of our community.

Thank you for taking the time to fill this out. This information helps us find the right fit for you to ensure a meaningful experience.

After completing our Volunteer Application, the Volunteer Manager will follow up with you. For questions, contact Jess at (330) 434-0110 x 409 or volunteer@openm.org.

*Please note, any volunteer under the age of 16 will need to be accompanied by an adult. The adult will also need to fill out a volunteer application.
* Required
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Alternate Phone Number
Your answer
Email Address *
Your answer
Add Me To Open M's Email List *
I prefer to receive OPEN M's newsletter by regular mail...
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Church Affiliation (if applicable)
Your answer
Employer or School (if applicable)
Your answer
Will your service hours be used to fulfill a service requirement? *
How did you hear about OPEN M?
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