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Entity Volunteering with:
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Inglis House
Inglis Housing Corporation
Innovation Center (Philly)
Innovation Center (Pittsburgh)
Assistive Technology
Home Mods
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Not Sure
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If you are currently a student, which school/university are you attending?
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Anticipated Graduation Date
Why are you interested in volunteering?
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How did you find out about volunteering at Inglis?
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Inglis resident or community participant
My school or work
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I know someone who works for Inglis
Web search
Have you applied to volunteer to fulfill a school community service requirement?
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Have you applied to volunteer to fulfill a court-appointed community service requirement?
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If you applied for volunteer service to fulfill a school or court-appointed requirement, please explain and include how many hours are needed.
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Do you require any accommodations that should be considered when selecting a volunteer assignment?
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If you require any accommodations, please detail.
Conflict of Interest Disclosure: Do you have a relative who lives or works at Inglis OR do you have a close personal relationship with an employee, resident, or consumer?
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Conflict of Interest Disclosure: If YES, please explain.
Have you had a permanent residence in Pennsylvania for at least 2 years?
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Since reaching the age of eighteen (18) have you ever been convicted of a crime, including felonies and misdemeanors , but excluding summary offences such as speeding tickets, which has not been annulled, expunged, or sealed by a court?
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No
I certify that all statements I have made on this application are true and complete to the best of my knowledge. I understand that any false statement, misrepresentation or omission may cause my dismissal from volunteer service.
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