Volunteer Form

Last name*

First name*

Phone Number*

Email Address*

Days Available (check all that apply)*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Times Available (check all that apply)*

Mornings

Afternoons

Evenings

Length of Service*

1-2 hours

2-4 hours

4-6 hours

Full day

Other (please specify)

If you selected "other" specify availability here:

Emergency Contact Full Name

Phone Number

African Diaspora of Maryland is a 501 (c)(3) non-profit organization.

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