Volunteer Opportunities Host a Blood Drive Life Stories Tell Us Your Story		American Red Cross: Penn-Jersey Region Volunteer Application         First name: Last name: Home phone: Cell phone: Business phone:     Address: City: State: Zip: Business e-mail: Home e-mail:         Date of birth:             References (work or personal) First name: Last name: Day phone: Evening phone: Relationship:             Emergency contact       First name: Last name: Day phone: Evening phone: Relationship:             Volunteer General Information         Select a job type (check all areas of interest)     Availability dates/times Blood mobile Fixed donor centers Office volunteer Training team Recruitment team Newsletter editor Transportation specialist         Skills (check all that apply)         Computer     General office     Research     Desktop publishing     Training     Public speaking     Telephone     Scheduling     Registration/reception     Writing     Transportation(driving)     Canteen(donor refreshment)             Blood Mobile Volunteers Only         Can you volunteer in Center City? Yes No   If no, would you volunteer in Center City if transportation was provided? Yes No               Do you have a car?     Yes No   If you have a car, would you be able to take other volunteers in your area to the blood mobile? Yes No               Transportation Specialist Volunteers Only         Can you pick up blood in your area? Yes No   Can you pick up blood in Center City? Yes No   Can you pick up and return volunteers? Yes No   Do you have access to a car for your use? Yes No   If yes, please provide your driver's license #:         Special note on Transportation Specialist positions. All volunteers who would like to perfomr these activities must authorize a DMV check. An American Red Cross representitive will contact you to obtain your signed permission for the DMV check.         All Volunteers               Are you interested in Volunteer Leadership opportunities? Yes No   If yes, to the above question, please tell us about your leadership skills.         How did you hear about the American Red Cross? Web search Community organization Employer Email from a friend Link/reference on a website Search engine Magazine Newspaper TV Radio Other         If you selected "other", please describe below:         Do you have a friend that might want to learn more about our volunteer opportunities? Yes No   If yes, please provide the following information: First name:     Last name:     E-mail:     Contact #:             Do you belong to a professional group or community center that might be interested in learning more about our volunteer opportunities? Yes No         If yes, please provide the following information:         Name of group or community center:     Contact first name:     Contact last name:     Contact email:     Contact phone #:
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