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What was the month and year of your initial diagnosis?

Tobacco Use

It is the policy of Hope Foundation of North Dakota that volunteers who represent us do not use tobacco products. If you smoke, could you refrain from using tobacco products while representing the Hope Foundation of North Dakota?

Approximately how many hours a month would you like to volunteer

Other areas you are interested in getting involved in

Volunteer Experience

If you would like to share information about your past volunteer experience, or organization, please describe below:

Months/Years of Volunteering Experience

Emergency Contact Name

Volunteer Form