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Toxic Crusaders: On-the-Road

Volunteer Interest Form

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Please fill the following ^*

First Name ^*

Last Name ^*

E-mail

DTSC Program/Organization ^*

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Which events are you interested in? ^*

Plan for events to last from 8:00 am - 4:00 pm.

2/27(Fri) - Bakersfield College

3/06(Fri) - Bakersfield State

3/26 (Thurs) - ECL Berkeley

3/27 (Fri) - ECL Berkeley

5/8 (Fri) - Sacramento State

5/9 (Sat) - Sacramento State

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Select your unisex t-shirt size: ^*

S

M

L

XL

2XL

3XL

Already have/don't need

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Select the PPE you want included: ^*

PPE is provided but not required for volunteers.

Safety glasses

Single-use lab coat

Single-use coveralls

Don't need

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Do you need a workbook? ^*

Yes

No

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Do you have dietary restrictions?

Select all that apply.

Vegetarian

Vegan

Gluten-free

No pork

No seafood

No peanuts

No tree nuts

Other

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Anything you'd like to add?

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Thanks!

We'll be in touch ;)

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