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Volunteer Application:
Last Name: First Name:
Street: Apt/Suite:
City: State:
Zipcode: Phone Number:
Email:
Preffered Method of contact:

Membership Services: (Select One)
I am a KCOS-TV member
I would like to know how to become a member

The best time(s) for me to volunteer is(are): (Select all that apply)
Weekdays Weeknights
Weekends Morning
Afternoons Evenings

I am interested in volunteering for: (Select all that apply)
Live Pledge Events
Community Events
Administrative Tasks

Emergency Contact:
Emergency Contact Phone Number:
What do you like about KCOS-TV?
Have you ever volunteered or done community service? If so, where and what were your duties?
Thank you for your interest in becoming a KCOS-TV Volunteer.
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