Positive Images Volunteer Profile

Name:__________________________________________________________________

Home Address:___________________________________________________________

Work Address:___________________________________________________________

Work Phone:_______________________ Home Phone:_________________________

e-mail:____________________________ Occupation:__________________________

Company Name:__________________________________________________________

Brief Work History:_______________________________________________________

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How did you hear about P.I.? ________________________________________________

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In your opinion, what are the main issues that affect the LGBTQ youth community?

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How do you envision your contributing role in Positive Images?

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