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Goodwill Ambassador Program
Registration Form
Contact Information:
First Name
Last Name
Work Number
Cell Phone Number
Email Addres
Job Title
Employee ID (enter numbers only)
Department Name
Supervisor Name
Are you full-time or part-time?
Full-Time
Part-Time
Do you speak any languages other than English?
Spanish
French
Creole
Other
Enter the date if you have received training or already certified.
GWA Orientation Training
CPR
Traffic Control
First Aid
List any additional trainings you have received and the date.
By authority of my signature, I'm asking to be included in the Goodwill Ambassador (GWA) Volunteer Program's database, which will permit me to be considered for volunteer services when the GWA program is activated by the Miami-Dade County Mayor and deployed under the supervision of the Office of Community Advocacy.
I also expect to be contacted to participate in mandatory trainings, in-services and skill-building exercises, as well as disaster and emergency preparedness training, which can ultimately benefit communities throughout Miami-Dade County.
Sign your name electronically using your mouse cursor.
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