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Work Request Form

By Philip Bailey
Work Study Request
* Required
First Name *
Last Name *
Email Address *
 
Address Line 1 *

Address Line 2
City *
State *
Zip Code *
 
Area Code
Phone Number
Home Phone *
Fax Phone
Work Phone
  Ext:
Cell Phone
Best Contact Number *
Location of Work Site
Type of Work
Estimated Hours
Number of People Needed**
Date Needed Done
** Teen Challenge NorWest Cal / Nevada Requires students to work in groups of no less then 2 people.



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    Online Forms

    Vehicle Donations(form)
     By donating your vehicle, you will be raising funds to promote community awareness in the fight against drug abuse and gang violence in our community. For more information, call toll free at (888) 339-3193.

    Work Study(form)
    Have a project you're working on? Need some extra hands? We are here to help! Work Studies include house cleaning, yard work, construction, remodeling, event serving and more. For more information, call toll free at (888) 339-3193


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