219 Hubbard Street
Allegan, MI, 49010
Name
Street Address
City
State
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Home Phone
Cell Phone
Email
The best way(s) to reach you is: Home PhoneCell PhoneEmail
Are you at least 18 years of age? YesNo
Are you a current member of The Arc (current membership dues paid)? YesNo
Do you currently participate in Arc activities? YesNo
How long have you been connected with The Arc?
Why do you want to be part of the SPARC committee with The Arc?
In consideration for a volunteer position, I agree to conform to the rules and regulations of The Arc of Allegan County, and understand that I may be dismissed from my volunteer position at any time, with or without cause, with or without notice, at the option of either The Arc of Allegan County or myself.
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Grant Consent: I grant The Arc of Allegan County consent to collect my contact information.
