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ChildrensCourse
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Consumer Cellular
Davidson Benefits Planning, LLC
Pine Meadow Golf
Price Waterhouse Coopers (PWC)
Lane Powell (LP)
Nike Golf
AAA Insurance
Brian Henninger Foundation
The Campbell Group
Mattecheck and Associates
Toyota of Gladstone
Adidas
Bank of the West
Pacific Office Automation
Regence
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Chubb Insurance
Les Schwab
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Volunteer Application

Contact Information
Title:
First Name:
Last Name:
Company:
Address 1:
City:
State:
Postal Code:
Cell Phone:
How should we contact you ?
Home Phone:
Work Phone:
Email Address:
Best Time to Contact:
Best Place to Contact:
Which position desired?
Please choose the position desired.
(select all that apply)
 Coach Assistant
 Mentor
 Program and Event Volunteer
 Event Coordinator
 Administration
 Special Needs Coach
Gender Male
 Female
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Email Address
Availability
(select all that apply)
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday
Any other comments
Insured Name
Please Note: The Children's Course conducts background investigations for all applicants being considered for volunteer work. Background investigations include as applicable: criminal background, reference checks, and review of the past three years of your driving record provided by the Department of Motor Vehicles. Failure to receive satisfactory reports from the investigations and/or refusal to submit the investigations will be cause for disqualification. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if I volunteer, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my interest to volunteer and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing some to you. I understand and agree that if approved to volunteer, I will abide by all rules and regulations of The Children's Course.
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