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New Volunteer Registration

Fields with * next to them are required!
*First Name: *Last Name:
*Street Address: *City:
*Zip Code:
*Email address: This will be your username.
*Password: *Re-enter password:
*Daytime Phone: Evening Phone:
*Fau Student: 
*Student ID:      Z-
*Major:
*Expected Graduation:  
Your Main Campus:
Club Affiliations:
*How did you hear about us?: 
*Will you volunteer for local disasters? 
*Do you wish to receive email notifications of new events? 
The following information is voluntary and is gathered for statistical purposes. Your information IS NOT disclosed to third parties under any circumstances.
Gender: Age Range:
Ethnicity: Employment Category:
Occupation: 
Areas of Interest:
  

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