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Interest Survey
 
  Current Address
 
Name: *
Address: *
City: *
State: *
Zip: *
Home Phone: *
Work Phone:
 
  Availibility
 
Best time to reach me: Day Evening Weekend
Best time for me to volunteer/help: Day Evening Weekend
How often are you available to volunteer: *
College major and/or Occupation: *
Email: *
 
  Areas of Interest (Check all that apply)
 
Camp Event Workshops/Series Administration
Troops Seasonal Activities Aquatics
 
  Please list any skills that you would like to share with the girls
 
*

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GSEM is a proud United Way member and is supported by the following United Way Agencies: United Way of Greater St. Louis, United Way of the Mark Twain Area, United Way of Adair County/Northeast Missouri, United Way of St. Francois County, Franklin County Area United Way