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Local Support Family Program - Family Application

 

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Information Please fill out the following application and then choose "Submit Application".

Required Required
Name
 
Home Address
State:Required
 
Summer Address
My summer address is the same as my home addressRequired
State:Required
 
Additional Information
 
 
 
 
Male Female No Preference
 
 
 
Yes No
 
 
Yes No
 
 
Yes No
 
Yes No
 
 
By submitting this application, I agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss of, or destruction of personal property, resulting from or arising out of my participation as a volunteer in the Local Support Family Program. I also release, waive, indemnify, hold harmless, and discharge Fort Lewis College from all claims, damages, and injuries arising out of my volunteer activities. I understand that a background check may be performed on myself and anyone else living in the household who is over 18 years of age, at no expense to us. I will be required to supply my social security number to HireRight when the company contacts me.
         
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