Jimmy Miller Memorial Foundation | Volunteer Application

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Additional details

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1. Have you ever been charged or convicted of any sex-related or abuse related crime? 1. Have you ever been charged or convicted of any sex-related or abuse related crime?

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2. Are there any circumstances involving your lifestyle or your background that would compromise the safety and or security of the participants or your ability to work with them? 2. Are there any circumstances involving your lifestyle or your background that would compromise the safety and or security of the participants or your ability to work with them?

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3. Do you have a history of mental illness, depression, anxiety or schizophrenia? 3. Do you have a history of mental illness, depression, anxiety or schizophrenia?

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4. Do you have any other medical condition that would prevent you from effectively safeguarding the health and welfare of the participants at JMMF events? 4. Do you have any other medical condition that would prevent you from effectively safeguarding the health and welfare of the participants at JMMF events?

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References - 1 Name References - 1 Name

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References - 1 Contact Phone References - 1 Contact Phone

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References - 2 Name References - 2 Name

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