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Petersburg Ambassadors Program/Community Partner - Volunteer Application

  1. First Name or Participating Volunteer

  2. Last Name of Participating Volunteer

  3. Please include area code

  4. Please list the name of the organization and a contact person.

  5. Please list related skills or work experience

  6. This serves at your signature which certifies the above information.

  7. Please provide your email address

  8. Month/Date/Year

  9. Leave This Blank:

  10. This field is not part of the form submission.

City of Petersburg - Virginia