Poverty Simulation-Volunteer Registration

Contact Information

Thank you for volunteering for the Poverty Simulation!

This interactive experience will help participants to understand the complexity of living in poverty. Through working with others in small groups, participants will discover the many barriers that often prevent individuals from transitioning out of poverty. Your help as a volunteer is critical.

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* 1. Name and Address

Name

Company & Title OR Your role in the community

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What dates/location do you plan to attend?

November 1, 2024 9:00 to Noon at Chatfield School in Lapeer

December 4, 2024 9:00 to Noon at Knights of Columbus Hall, 1036 S Van Dyke Rd, Bad Axe

December 4, 2024 1:00 to 4:00 at Knights of Columbus Hall, 1036 S Van Dyke Rd, Bad Axe

January 20, 2025 at Lapeer Educational Technology Center

I cannot attend the above. Please add me to a mailing list for future events.

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* 3. Have you participated in a poverty simulation in the past?

Yes

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* 4. Continuing Education- Credits for social work and medical providers (physician, advanced practice, and nurses) have been approved. Please indicate if you will be needing a CE certificate.

Yes

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* 1. Name and Address

Question Title

* 2. What dates/location do you plan to attend?

Question Title

* 3. Have you participated in a poverty simulation in the past?

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* 4. Continuing Education- Credits for social work and medical providers (physician, advanced practice, and nurses) have been approved. Please indicate if you will be needing a CE certificate.

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* 5. Please tell us if you have any comments or need any accommodations to participate.