VOLUNTEER ASSESSMENT

Common Cents Consulting

United Dominions of Amexem
2010
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PERSONAL

ATTRIBUTE CLICK HERE TO ENTER TEXT .

DOMICILE STREET CLICK HERE TO ENTER TEXT .

DBA STATE
TERRITORY CLICK HERE TO ENTER TEXT .      
ZIP      

CLICK HERE TO CELL CLICK HERE TO ENTER O THER

CLICK HERE TO ENTER

HOME # ENTER TEXT . TEXT . # TEXT .

E-MAIL IS

CHE

CKE

E- MAIL CLICK HERE TO ENTER TEXT . D: CLICK HERE TO ENTER TEXT .

DATE OF # OF

INCARNA CLICK HERE TO ENTER MARITAL

CLICK HERE TO
DEPENDENT
TION TEXT . STATUS ENTER TEXT . S      

PROFILE

Volunteer Experience

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POSITION COMPANY

Years
Volunteered      
RESPONSIBILITIES

Click here to enter text. Click here to enter text.

POSITION COMPANY
YEARS
VOLUNTEE
RESPONSIBILITIES CLICK HERE TO ENTER TEXT . RED      

UNITED DOMINIONS OF AMEXEM , UNALACHTIGO TERRITORAL ESTATES,

[C/T P.O. Box 1941, Delaware Republic., [19801] ] NON DOMESTIC (302) 691-3319
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UNITED DOMINIONS OF AMEXEM , UNALACHTIGO TERRITORAL ESTATES,

[C/T P.O. Box 1941, Delaware Republic., [19801] ] NON DOMESTIC (302) 691-3319
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Employment Experience

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TITLE EMPLOYER

Occupation Click here to enter text.      

YEARS EMPLOYED
P REVIOUS
O CCUPATIO
N
(If field differs from
above) Click here to enter text.

Knowledge/Degree/Certificat Major/Specialization Year

e
Click here to enter text.      
Click here to enter
text.
EDUCATION
Knowledge/Degree/Certificat Major/Specialization Year
e
Click here to enter text.      
Click here to enter
text.

Knowledge/Degree/Certificat Major/Specialization Year

e
     

Name Focus

M EMBERSHIPS /
Affiliations Click here to enter text. Click here to enter text.

NameClick here to enter text. FocusClick here to enter text.

How did you hear about the 2010 Stop Playing Tour?Click here to enter text.

UNITED DOMINIONS OF AMEXEM , UNALACHTIGO TERRITORAL ESTATES,

[C/T P.O. Box 1941, Delaware Republic., [19801] ] NON DOMESTIC (302) 691-3319
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DESCRIBE YOUR STRENGTHS , SKILLS, AND SPECIAL INTERESTS.

CLICK HERE TO ENTER TEXT.

DESCRIBE THE REASON(S) WHY YOU WANT TO BECOME A VOLUNTEER FOR THE 21010
STOP PLAYING TOUR.

CLICK HERE TO ENTER TEXT .

HOW MANY HOURS /WEEK ARE YOU WILLING TO VOLUNTEER FOR THE STOP PLAYING
TOUR?

CLICK HERE TO ENTER TEXT .

WHAT WILL BE YOUR MOST SIGNIFICANT VOLUNTEER CONTRIBUTION (S) TO THE 2010
STOP PLAYING TOUR? (YOU MAY APPEND ADDITIONAL SHEETS TO THIS
APPLICATION .)

CLICK HERE TO ENTER TEXT .

VOLUNTEER SIGNATURE CLICK HERE TO ENTER TEXT . DATE CLICK HERE TO ENTER A

DATE.

For questions you may contact us by phone: (302)691-3319 or (347) 546-5978, or email:
stopplayingtour@gmail.com. Otherwise please email your completed Assessment Record to
stopplayingtour@gmail.com or send it to the PO Box below.

For Missionary Committee Use Only

UNITED DOMINIONS OF AMEXEM , UNALACHTIGO TERRITORAL ESTATES,

[C/T P.O. Box 1941, Delaware Republic., [19801] ] NON DOMESTIC (302) 691-3319
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Date Submitted______ Volunteer Entry Date__________ Status___________
Committee________________________

UNITED DOMINIONS OF AMEXEM , UNALACHTIGO TERRITORAL ESTATES,

[C/T P.O. Box 1941, Delaware Republic., [19801] ] NON DOMESTIC (302) 691-3319