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HOPE PROVIDER ASSOCIATES
APPLIATION FORM
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Please provide the following information to enable Communitywide evaluate the best projects, programs or activities where your services can make a difference.
SERVICES YOU ARE ABLE TO PROVIDE
*Services
Medical Services
Psycho-therapy
Health care delivery
I.T. Services
Trainer
WritingReporting
Grant Sourcing & Writing
Project & Program Management
Counselling and Guidance
Mentoring
Event Planning and Management
Any Other (Please Specify)
Remarks Comments
BIO
Profile title
Summarize your experience, specialties, and your story or business history
Education
Professional certifications or licenses
Reviews or testimonials
Digital photo of you
AVAILABILITY
Hours and dayparts (weekdays, weekends, evenings) you are available
Your typical response time
Distance you are willing to travel
CONTACT INFORMATION
*Phone number
*Email
Website
Address, linked to a map
OTHER AREAS YOU ARE WILLING TO PROVIDE SERVICES
Seek Grant and Funding for Communitywide projectsprograms
Serve as Mentor for Students
Represent Communitywide on other organization
Serve as Trainer or Consultant on Communitywide Projects or program
Any Other Area of specialization you want to provide
Submit
home
Programs
Help-A-Neighbor
Skill Focus Training
Disaster Relief
Medical Outreach & Support
On-Going Projects
Our Story
Volunteer
Contact