Name *

First Name

Last Name

Phone *

(###)

###

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I am available to work 2 Saturdays per month. (This is a requirement for this position.) *

Yes

No

One of the following is a requirement for the position. You may choose whichever your prefer. *

3 weekday evenings per month

2 Sunday afternoons per month

I am interested in flexible weekday hours as well. *

Yes

No

I am available to work from 5:15pm - 7:15pm on the first Thursday of every month. (This is a requirement for this position.) *

Yes

No