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Ä¢¹½¶ÌÊÓÆµ Community Day 2025 - Atlantic City Sign-Up
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First Name
*
Last Name
*
Preference of Location
*
Please Select
No preference. Assign me where I am most needed.
Ward 1 - Northeast Inlet
Ward 1 - Bungalow Park
Ward 2/3- Beach
Ward 2/3 - Orange Loop
Ward 3 - Midtown
Ward 3 - Westside
Ward 3/4 - Ducktown
Ward 4 - Venice Park
Wards 5-6 - Chelsea/Lower Chelsea
Organization or Group Affiliation
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Ä¢¹½¶ÌÊÓÆµ Student
Ä¢¹½¶ÌÊÓÆµ Faculty
Ä¢¹½¶ÌÊÓÆµ Staff
Ä¢¹½¶ÌÊÓÆµ Alumni
Community Member
Community Organization
Name of Community Organization
If applicable
Email
*
Phone
*
Z Number
Please enter your Z number if you are Ä¢¹½¶ÌÊÓÆµ Student/Faculty/Staff.
If you are a resident and/or work in Atlantic City, please indicate the Ward in which you live/work
Please Select
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
If you do not live in Atlantic City, where do you live?
For Ä¢¹½¶ÌÊÓÆµ students and staff only, will you need transportation from the Galloway campus to Atlantic City?
*
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Confirmation
I confirm that I am committed to volunteering for the Ä¢¹½¶ÌÊÓÆµ Community Day - Atlantic City
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