Wednesday the 19th of June, 2013
190 Raleys Towne Centre Rohnert Park CA 94928 Phone: 707-584-3488

8 MEMBERS. 70 HOURS EXCHANGED.

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To Join TEC @ SSU fill out this form COMPLETELY and click

After you click Submit Application above, please contact us and let us know when you are available for an orientation. Your account will be activated after your orientation! * Required Fields
 
First name*
Last name*
Phone*
 
Address*
City*
State*
Zip*
 
Email*
Password*
Password*
?
 
Birthdate*
mm/dd/yyyy Falsify the month and day if you wish. Why?
 
*Tell us a bit about yourself:
 
Please provide two personal references below. If you provide an email for your references they will be automatically emailed, if you do not provide an email address please bring a paper reference to your orientation with the reference’s name and contact info and have them answer the following questions: How long have you known the applicant? In what capacity? To your knowledge does the applicant use good judgement? How responsible is the applicant? What special skills, gifts, and talents does the applicant possess? Do they relate well to people of all ages? Do you have any reservations about recommending this person to become a member of [orgName]?
 
1. Personal Reference Name*
Email Address *OR*
Phone Number
2. Personal Reference Name*
Email Address *OR*
Phone Number

To Join TEC @ SSU fill out this form COMPLETELY and click