Citizen Information

Citizen Name:             
Citizen Number:          
Immigration Date:        

Personal Information

Age:                            
Gender:                        Male Female
E-mail Address:            
Location:                      
Time Zone:                   
Times Available for duty:

Experience

AWI sponsored organizations involved in:            
AWI sponsored organizations formely involved in: 
Additional experience/organizations of any kind:  
Skills:                                                              

Other

I am sharing a citizenship or am using a temporary citizenship
I am able to volunteer at least 1(one) hour per week of my time for TeenGate
I have read the TeenGate Guidelines and have a general understanding of how to react in certain situations
I have not had problems with Peacekeepers or Gatekeepers

I have checked my input to make sure everything in this form is correct

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