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1Z�S�L�E <br />. 4MLM <br />2660 Civic r. MN 551.13 <br />Phone 9 651-792-7006 - F.. ,651-792-7100 <br />w v -d1% o(rosecille.com <br />LEADERS IN TRAINING <br />VOLUNTEER APPLICATION <br />Name: Today's Date: <br />Address: <br />City: State: Zip Code: <br />Home/CellPhone: Email: <br />Type of Leadership opportunity you are interested in learning: (e.g.: Sports, Playgrounds, School Age Care, <br />Preschool, Puppets, etc.) <br />Do you prefer a particular age group or type of client? <br />Time you are available to work: <br />Total number of hours you are available per week: <br />Regular each week? 0 Yes G No Any preferred days or hours? <br />We would be interested in any further comments or information you may wish to offer: <br />Please return this application to: Leaders in 'Training, Roseville Parks and Recreation <br />2660 Civic Center Drive, Roseville, NN 55113 <br />Tenne." n Warning: Information requested on form will be used to determine staff, facility. and equipment needs. Your name, address, <br />and telephone number will be provided to City staff, program volunteers, the City attorney, insurer, and auditor. Although you are not <br />required to disclose this information, failure to do so will prevent you from volunteering. <br />