Volunteer Application Form

Fields with a (*) are required.
Title(*)
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First Name(*)
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Last Name(*)
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Gender
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Street Address(*)
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City(*)
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State(*)
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Zip Code(*)
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County
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Daytime Phone(*)
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Cell Phone
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Email Address(*)
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Business or School reference (name and tel: #)
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Emergency contact name and phone number:(*)
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In which area would you like to volunteer?(*)
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If you are interested in one or more of our special events please select all that apply from the list below.
Check the special event you would like to volunteer for:




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Do you have special skills or areas of interest?
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How did you find out about the Autism Society of North Carolina?(*)
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Are you an individual with autism spectrum disorder
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Are you the parent of a child or adult on the autism spectrum
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Are you the sibling or other relative of an individual on the autism spectrum
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Enter the code above to prove you are human(*) Enter the code above to prove you are human