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Join CVAC: Online Application Form - Adult Corps Only

Please enter your full name (First name, Middle initial and Last name; e.g. John. J. Smith)
Please enter your full street address, including the town, state and zip code (e.g. 233 North Greeley Ave, Chappaqua, NY 10514)

I certify that the above information is true and correct and I understand the information will be kept confidential and used solely by officers of CVAC and for the purposes of determining my qualification for service. I authorize CVAC to contact the references listed above for the purposes of determining eligibility for duty.

I understand that services at CVAC are completely volunteer and if selected for service, agree to abide by CVAC’s policies and by-laws. Terms and conditions may be changed by CVAC’s board of directors’ discretion at any time.

It is recommended not to enter any text (such as an e-mail address) here
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