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Name:
Email:
Gender Male Female
Phone:
What skills or activities do you most enjoy using day to day? This could be in a job, with your family/friends or in a hobby?
Would you like to translate those skills to a volunteer opportunity locally? Yes No
If you have a free hour of time what is your favorite thing to do?
What days and times are you available to volunteer regularly? (list days of weeks and morning, afternoon, evening?)?
Are you associated with a faith or religious community locally? If so, which one – specific church, synagogue, mosque etc.?
How did you first hear about DurhamCares?
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