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1. What is your previous volunteer experience? For each experience, please include the following information.
4. What special skills, interests or strengths would you offer as a volunteer? Please note if any of the following categories are applicable and elaborate.
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I hereby affirm that the information provided on this application is true and complete to the best of my knowledge, and agree to have any of the statements verified by St. Mary’s. I understand that providing any false or misleading information or any omissions may disqualify me from further consideration as a volunteer and may result in my immediate termination even if discovered at a later date. I authorize all references provided in this application, as well as all other individuals to provide all information they have about me. Furthermore, I agree to cooperate in such investigation and release from liability or responsibility, the Medical Center and all persons and entities acting on its behalf, and all persons and entities requesting or supplying such information.
Please enter date in this format: mm/dd/yyyy