Green NRG Volunteer or Intern Application

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Thank you for expressing your interest in becoming an active volunteer or intern with Green NRG Institute!

To get additional help on completing this form, please call our office at (888) 565-5632 or email us at gbeck@greennrg.us.com You can also visit us on the web at www.greennrg.us.com

Federal EIN for Green NRG Institute is 46-4227396. We are a 501(c)3 non-profit organization.

Contact ID

Account ID

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Applicant - please make corrections as appropriate. The star (*) fields are required.

First Name

Last Name

Title

Website

Company

Street

City

State/Province

Zip/Postal Code

Phone

Mobile Phone

Fax

Volunteer description & interests

Service/Expertise you can provide (short)

10 word "short" description

One paragraph "long" description of areas you would like to work in:

Brief description of special experience or skills you would like to use:

Brief description of days or hours you can volunteer for:

Contact Information