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Midwest Crossroads Emmaus Community
P.O.Box 1384
Valparaiso, IN 46384

www.mcemmaus.org

VOLUNTEER

Thank you for volunteering. You may download a Yes from from the Home Page or complete the information listed below. If volunteering to work on a Walk, please indicate the capacity that you are volunteering to serve in.

Please complete the following form.

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State
Zip
Work Phone
Home Phone
E-mail
Date of Birth ,

In what areas are you interested in volunteering for MCEC or on a Walk?