Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Language(s) Spoken *

English

nepali

other

Availability *

Please select one or more options please write exact dates in comment section below

anytime

winter

spring

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Volunteer Roles *

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health care (MD, RN, OT, PT, ETC.)

educator

Social Media Volunteer

fundraising

advertising

music teacher

yoga teacher

handy work

other