Wufoo

Name * First Last
Date of Birth MM / DD / YYYY
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number ### - ### - ####
I would like to serve at: *
Near North Saturday (5 PM) Near North Sunday (9 AM) Near North Sunday (11 AM) Near North Sunday (5:30 PM) Lincoln Park Sunday (10 AM) University Village Sunday (9 AM) University Village Sunday (11 AM)

Which campus and time would you like to serve?
Select your first choice *
Select your second choice *
How often are you interested in serving? *
Sign me up! I'm ready to serve every weekend I can easily serve twice a month I think once a month is best to get my feet wet
Additional Questions or Comments?

Feel free to ask any additional questions concerning the opportunities listed above and someone on staff will get back to you shortly.
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