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I will keep the confidentiality code enforced by the agency and other victim serving agencies allied with DVCAC. Volunteer Application Form Attention Kellee Bacots kbacote dvcac.org P. O. Box 5466 Cleveland Ohio 44101-0466 216-229-2420 x225 Name Address City Home Phone Zip Work Phone Alt/Cell Email Birthday Are you 18 or older Yes No Are you presently working/in school If so where If you are currently seeing a Counselor/Therapist/Psychologist etc. regarding issues of domestic violence child...
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