DSOSN

Down Syndrome Organization of Southern Nevada
5300 Vegas Drive . Las Vegas . NV . 89108-2347
702/648-1990 office 702/648-2020 fax
dcline@dsosn.org

Name
Address:
City, State, Zip:
Home Phone:
Work Phone:
Cell/Pager:
Email Address:
Are you Over 18 years old?	Yes No
Are you bilingual?	Yes No (if so what language): Would you be willing to offer translation services? Yes
Are you a licensed, insured driver?	Yes No (if so what is the expiration date of the license):
Availability:	Days Evenings As Needed Weekdays Weekends
Areas of Interest:	General Clerical Maintenance
Events:	Buddy Walk Circle of Friends Festival of Trees and Lights Golf Tournament Other
Work History :
Previous Volunteer Activities:
Why do you want to volunteer for the DSOSN?

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