Infinite Family Application
  1. Contact Info.
  2. Salutation
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  3. First Name(*)
    Please type your first name.
  4. Last Name(*)
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    Please enter your last name
  5. Street Address(*)
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  6. City(*)
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  7. State (e.g. MI) Or Province(*)
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  8. Zip(*)
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  9. Country(*)
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    Please write full country name
  10. Time Zone Abreviation(*)
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  11. Home Phone(*)
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    Please include country and area codes
  12. Mobile(*)
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    Please include country and area codes
  13. Work phone
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    Please include country and area codes
  14. Preferred Phone(*)
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  15. Fax
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  16. Personal E-mail(*)
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  17. Work Email
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  18. Preferred Email(*)
    Please make your selection.
  19. Verify your Preferred Email(*)
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  20.  
  1. Date of Birth (Month/Date/Year, e.g. 01/20/1980)(*)
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  2. Marital Status
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  3. Country of Birth(*)
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  4. Gender(*)
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  5. Language Spoken (Choose all that apply.)(*)
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  6. List other languages you speak:
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  7. (This section is optional. Employment is not necessary to volunteer.)
  8. Occupation Status (Choose all that apply.)
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  9. Work Business Name
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  10. Work Street Address
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  11. Work City
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  12. Work State/Province
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  13. Work Zip/Postal Code
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  14. Work Country
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  15.  
  1. Your Computer
  2. Where do you have computer access? (Choose all that apply.)(*)
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  3. Where do you have high speed Internet? (Choose all that apply.)(*)
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  4. Which software programs do you use most often at home and at work and what are your online activities?(*)
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  5. Which operating systems do you use at home? (Choose all that apply.)(*)
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  6. Which operating systems do you use at work? (Choose all that apply.)(*)
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  7. What OS will you be using to communicate with your Net Buddy mentee in Africa? (Choose all that apply.)(*)
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  8. How did you hear about Infinite Family?(*)
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  9. Submit Now
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