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ImageImageImage  Step 3: Complete the forms and send them to CHADD National

Volunteer Agreement

As a volunteer with CHADD, I understand that I will be volunteering directly with those affected by ADHD.  I agree that compliance with all of the requirements are mandatory. 

1. The references I listed may be contacted by telephone.

2. I understand that I must carry my own health insurance.  I will not hold CHADD responsible for any injuries or problems that occur while volunteering.

3.  I understand that any requests for media interviews/questions will be referred to the CHADD national office.

By clicking on the submit button, you agree to all terms and conditions listed in the above. 

Name:
Email Address:
How did you hear about us? If you are volunteering with an active CHADD group, please identify that here.
Are you bilingual? yes
no
If yes, enter the language(s).
Briefly explain why you are interested in volunteering:
Reference One:
Reference One Phone:
Reference Two Name:
Reference Two Phone:
Have you ever been arrested and/or charged of a crime? Yes
No
Have you ever been convicted of a crime? Yes
No
If you answered YES to any questions, please explain:

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