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Intake form
Help us serve you better
Name
*
Email address
*
What services are you interested in?
Please select at least one option.
We Stronger Together
How did you hear about MRAF-Connect?
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Social Media
Friend/Family
Community Event
Website
What is your age group?
*
Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 and older
Do you have any previous experience with community service?
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Yes
No
What is your primary reason for seeking assistance?
Would you like to volunteer with us?
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Yes
No
What days are you available to volunteer?
Please select at least one option.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have any dietary restrictions we should be aware of?
Are you interested in attending fundraising events?
Select
Yes
No
What skills or expertise can you offer to support our programs?
Additional questions or comments
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