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IC Ad-Hoc Volunteer Committee Application
Name:
Address:
City:
State:
ZIP:
Email Address:
Best Phone #:
Best times to call:
School affiliation (if any):
District affiliation (if any):
I am:
Choose One:
An Adult
A Student
Areas of potential interest:
1. I would like to be a part of the MN FPSP IC Ad Hoc Committee
2. I would like to volunteer at the 2010 IC in La Crosse
3. I would like to volunteer at the 2010 IC but will only be able to be there if my student qualifies
4. I would be able to assist with pre-IC duties
5. I would be able to assist with post-IC duties (Like packing the truck.)
6. I would really like to be a host family the week before IC. (In this case please be sure to submit the Host Family Application as well.)
List the numbers of the areas above that you may be interested in:
Other Duties I might be interested in helping with are:
Human Verification:
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