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Personal Info
First Name
Middle Initial
Last Name
Date of Birth
Street Address
City
Postal Code
County
Home Number
Mobile
Email
Emergency Contact Details
Person Name
Phone Number
Relationship
Occupation
Place of Employment
Retired?
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No
Position / Title
Work Number
Can we call you at work?
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Volunteer Experience
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Military History
Did you serve in the military?
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Branch
Date of Service From
Date of Service To
Education
Level of education achieved
College / Graduate Degree
Interviewing Experience
Public Relations
Yes
No
Human Resources
Yes
No
Other
Have you conducted interviews for the VHP before?
Yes
No
How Many?
References
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Conviction or Felony
Have you ever been convicted, pleaded no contest to, or had adjudication withheld on crime?
Yes
No
Have you ever been a defendant in a civil court action for an intentional tort?
Yes
No
Comments
How did you hear about Veterans History Project First Coast?
Friend/Family
Exhibit
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TV
Presentation
VHPFC Volunteer
Legitimate
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Availability / Service Area
Weekdays
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Weeknights
Areas of Towns
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