WWW Volunteer Application

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Volunteer Application

WWW Women's Workforce WEB
Post Office Box 901
Greensboro, North Carolina 27402
(336) 370-4687
E-mail: WomenWorkWeb@aol.com
Website: womenworkforeceweb.freewebtools.com
PLEASE PRINT                                                                                      Date                                          
Name                                                                              Phone                                                              
Address                                                                  City                            State                 Zip                   
Nearest Relative                                                                                      Phone                                        
Social Security Number                                         TANF Assistance?                                                      
High School                                                  Year Graduated                             GED                               
Are you now employed?                         In School?                          In a Training Program?                     
Employment History
Name and Address                              Supervisor                     Job                            Reason for Leaving
Have you ever been convicted of a crime or pleaded guilty to a crime?                                                       
Have you ever been in the military?                      Were you ever convicted in a court martial?                    
Do you have any disabilities that would prevent you from performing some jobs?                                         
In case of emergency call:                                                             Phone                                              
Name                                               Address                                      Phone           

I authorize investigation of all statements in this application. I understand that misrepresentation or omission of facts is cause for termination.
Signature                                                                                       Date                                                     

E-Mail:    womenworkweb@aol.com