| Title*: |
Full Name*: |
| Address*: |
| City*: |
State*: |
Zipcode*: |
| Telephone*: |
Evening Telephone*: |
| Email*: |
Fax: |
Relevant work, academic, and volunteer experience:
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I have the following skills that I can share (e.g., writing, speaking, community organizing, media/PR, administrative, fund-raising/grant writing skills; fluency in foreign languages):
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| I know the following people who could be useful contacts for CESJ (e.g., elected representatives and officials on federal, state, and local levels; organizational, religious, business and labor leaders; contacts in academia and the media): |
| Hobbies and special interests: |
| If I had all the money, time and energy I needed, I would: |
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Time available to volunteer for CESJ
|
| No. of hours*: |
Per*: |
I can start *: |
| Best Days*: |
Preferred Time of Day*: |
| I prefer to work: At CESJ headquarters (Arlington, VA)At homeOn-line/via e-mailNo Preference |
| I have my own means of transportation: |
YesNo |
| |
CESJ's Organizational Needs (please check where you would like to help)
Select topics for each category where you have an interest. |
| CESJ Strategic Projects |
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| Educational |
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| CESJ Publications and Website |
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| Public Relations |
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| Research |
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| Fundraising and Membership |
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| Office Administration |
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| Miscellaneous |
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Other ways I would like to help CESJ:
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Enter This Code:  |
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