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STATEN ISLAND CHARM
EMERGENCY VOLUNTEER SERVICESMEMBERSHIP APPLICATION
Date:___/___/___
First Name___ Last Name___
Address___ City___ State___ Zip___
Cell Phone #___ Cell Service Provider___
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Staten Island Chaverim is a volunteer organization that provides assistance to the local community.
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Any individual or organization that receives assistance from Staten Island Chaverim may be required to file.
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To fill out Staten Island Chaverim, you must provide information about the assistance received and any other relevant details.
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The purpose of Staten Island Chaverim is to provide support and assistance to those in need within the community.
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Information such as the type and amount of assistance received, as well as any other relevant details, must be reported.
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