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Alumni Update Form

Use this form to update your contact information with Leadership Centre County

 

Full Name: Job Title:
Home Address: Home Phone:
City: State: Zip
Email:    
Municipality:    

Employer:

Work Phone:
Work Address: Fax:
Work City: State: Zip

Estimate of Volunteer Hours per Month :

Please list your current community volunteer activities below:

Organization
Position(s) held
When

Please review and check all items that reflect your skills, interests, & volunteer areas:

  Volunteer Areas
Skills and Interests
Healthcare
Fund Raising
Mental Health
Public Relations
Government/Public Affairs
Marketing
Art/Cultural
Financial
Economic Development
Advocacy
Education/Illiteracy
Legal
Domestic Viloence/Abuse
Mentoring
Criminal Justice
Computers
Children & Youth
Grant Writing
Aging/Senior Citizens
Personnel
Environment
Planning/Research
Transportation
Insurance
Employment/Training
Special Events
Parks/Recreational Activities
Counseling

 

Please click the submit button when you have finished updating your information.