Name:
Email:
City: State:
Timezone: EasternCentralMountainPacificAlaskaHawaii
Phone: Phone Type: CellLandline
Cell Phone Info Type: ---iPhoneBlackberryAndroidOther Carrier: Unlimited Minutes: ---YesNo
Do you have internet access?: YesNo
Which Death Row Dispatch virtual training would you like to attend? TUESDAY, JAN. 15, 8 P.M. ESTSUNDAY, JAN. 20, 3 P.M. ESTI CANNOT ATTEND EITHER If you cannot attend either of the above dates what is your availability:
What Death Row Dispatch volunteer shifts would you be available to work (Please write hours of availability beside each shift):
Sunday: Morning Afternoon Evening Overnight
Mondy: Morning Afternoon Evening Overnight
Tuesday: Morning Afternoon Evening Overnight
Wednesday: Morning Afternoon Evening Overnight
Thursday: Morning Afternoon Evening Overnight
Friday: Morning Afternoon Evening Overnight
Saturday: Morning Afternoon Evening Overnight
Do you want to volunteer: ---DailySeveral times per weekWeeklyEvery Other Week
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