Lace up your running shoes
Saturday, September 28 2019
Participants as well as event staff are needed. Check out the link: www.SR-AHEC.org/5k
Fun & Volunteer hours:)
Contact the event organizers: Tonya Burney
Email
*
Password
*
Confirm Password
*
High School *
High School graduation year *
First Name *
Middle Name
Last Name *
Phone Number (Primary) *
Phone Number (Secondary)
Street Address
City/Town *
State
Zip Code
Gender *
Date of birth *
Special medical needs/physical limitations/allergies:
The name of the University/College you plan to attend
University/College Projected Graduation Year
University/College Major
University/College Minor
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Address
Emergency contact Phone *
Will you be the first generation in your family to attend college?
Racial background *
Are you Hispanic? *
What languages, other than English, are you fluent in?
Have you volunteered previously in any AHEC Programs?
If yes, please list programs/projects
Have you ever been a volunteer or provided community service?
What activities do you currently participate in?
Do you have special skills or hobbies?
State briefly your motivation for applying
Enter the first two letters of your FIRST name
Enter the first two letters of your LAST name
What year where you born?
Message to Organizer