Volunteers Needed Form

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YES, MY HEAD START PROGRAM NEEDS MANY VOLUNTEERS!
The Head Start Multi-Media Campaign has been advertising for volunteers in five general categories: Family Support, Health Professionals, Education Specialists, Arts Education, and General Office Administration and Fundraising. However, my agency also needs volunteers in the following additional professional areas:
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Agency Name: ______________________________________________________	Grantee Delegate
Address: ___________________________________________________________________________________________
City/Town: ___________________________________________________	State: ____________       ZIP: _________________
Telephone Number: (    )_________________________________________________	Fax Number: (    )_________________________________________________
Ms.   Mrs.     Mr.
Volunteer Coordinator:_______________________________________________________________________________________
Coordinator's Direct Telephone Number: (    )_________________________________________________	Fax Number: (    )_________________________________________________
Please send this form to:	Head Start Media Campaign c/o Research Assessment Management, Inc. 1300 Spring Street, Suite 210 Silver Spring, MD 20910 Attn: Barbara White

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