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| First Name: |
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| Middle Name: |
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| Last Name: |
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| Nickname: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| County: |
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| Home Phone: |
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| Work Phone: |
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| Mobile: |
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| E-Mail: |
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| Date Of Birth(m/d/y): |
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| High School: |
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| Degree: |
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| Field Of Study: |
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| Undergraduate Institution: |
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| Graduate Institution: |
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| Post Graduate Institution: |
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| Do you speak a language other than English?: |
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| If so, which? |
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| Name: |
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| Relationship: |
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| Address: |
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| Home Phone: |
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| Work Phone: |
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| Other Phone: |
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| Employment Status: |
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| Employer (or if student, school and major): |
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| Address: |
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| Please list any previous or current volunteer activities: |
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| Are you volunteering to fulfill a class requirement or for community service credit? |
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| If yes, what is the nature of the credit? |
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| If yes, who? |
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| Administrative |
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| Station Operations |
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| Narrator |
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| Car Host |
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| Equipment Maintenance |
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| Equipment Repairs |
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| Rail Operations* |
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| What skills could you contribute in your volunteer service? (i.e., public speaking, computer skills, mechanical skills, model railroading, etc.) |
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| Please Check: |
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| Mornings |
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| Afternoons |
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| evenings |
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| If you heard about volunteering from a current volunteer or staff member could you please provide us with his/her name? |
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| Have you been known by any other name? |
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| If so, please list: |
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| Have you ever been an employee or volunteer of the Western Maryland Scenic Railroad? |
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| Have you ever been placed on probation or had a complaint or petition filed against you as an adult or juvenile, excluding a traffic violation? |
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| Have you ever been dismissed from any other volunteer program? |
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| Have you ever been convicted of a misdemeanor or DUI? |
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| If you answered "yes" to any of the above questions, please explain below. (Please note that a "yes" answer to any of the above questions may not necessarily exclude you from volunteering) |
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