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| Last Name: |
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| Title: |
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| Company / Institution: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Fax: |
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| Mobile Phone: |
(Atleast one contact phone is required, mobile is preferred) |
| Work Phone: |
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| Home Phone: |
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| Email: |
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| How did you learn about the conference? |
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| Other: |
(Complete if you selected Other above) |
| Have you volunteered with us before? |
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| Please indicate below the day/hours that you would like to volunteer (check all that apply) |
| High School Connection - Wednesday, March 27, 2013 |
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| Women's Sessions - Thursday, May 23, 2013 |
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12:00 - 1:00 p.m. Check-in/Registration |
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1:00 - 5:00 p.m. Session Monitors |
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5:00 - 7:00 p.m. Vendor/Reception/Keynote |
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7:00 - 8:30 p.m. Wrap-up/Clean Up |
| T-Shirt Size: |
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| Please list any special skills/qualifications: |
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| Volunteer Orientations/Venue Walk-through: Tuesday, March 12, 11 - 12:30 pm, in the UMKC Student Union, 5100 Cherry Street - Room 319 |
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| Thank you so much for volunteering for the Women of Color Leadership Conference. If you have questions or need additional information, please contact: |
Marissa Garcia
Volunteer Committee
UMKC Student Union, Room 319
5100 Cherry Street, Kansas City, MO
phone: 816.235.6609 | fax: 816.235.5645
garciama@umkc.edu
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