ࡱ > { bjbjBrBr 4 . $ $ $ $ $ 8 8 8 8 p 8 6 h $ P z $ $ $ ] ] ] X $ $ ] ] ] ] $j ^ ] 0 6 ] ] ] $ ] D ] ] 6 : Resident Application Form Name ___________________________________________________ Address ___________________________________________________ ____________________________________________________ Phone Number _______________________________________________ Email address ________________________________________________ I would like to be a part of the: (please select ONE) ____ Year-long program (adopted by a group of student volunteers) ____ As-needed program (contact the Center for Community & Civic Engagement for occasional assistance) __________________________________________________________________________________________ Do you have any suggestions or comments for us? ____________________________________________________________________________________________________________________________________________ If you would like to contact us, please email HYPERLINK "mailto:ECAP@etown.edu" ECAP@etown.edu or call (717) 361-3025 When we receive this application, we will contact you with further details about the ECAP program! Thank you! ECAP: Elizabethtown Community Assistance Program Elizabethtown College Center for Community & Civic Engagement (717) 367-3025 HYPERLINK "mailto:ECAP@etown.edu" ECAP@etown.edu ! E U 5 C E e | } * C D r s ˽˽˽˽˽˽ֽp[p[ (j h? hRV 5CJ OJ QJ UaJ h? hRV 5CJ OJ QJ aJ hRV hRV 5CJ$ OJ QJ h? 5CJ OJ QJ h4 5CJ OJ QJ h|_ hRV 5CJ OJ QJ h|_ 5CJ OJ QJ hRV hRV 5CJ OJ QJ hRV 5CJ OJ QJ hRV hRV 5>*CJ OJ QJ hRV 5>*CJ j hWp hD} UmH nH u# V D E | * C D " # gdRV gd? ^`gdRV `gdRV gdRV ^gdRV ^`gdRV ^gdRV $ a$gdRV " # . / 1 2 4 5 7 8 : ; @ A N O X Y c d k ȸ|p|pcp|XT hD} hRV hD} OJ QJ hlL hD} 0J OJ QJ j hD} OJ QJ UhD} OJ QJ hRV hD} CJ OJ QJ hRV hD} CJ$ OJ QJ ht j ht UhRV hRV 5CJ( OJ QJ hRV hRV 5CJ OJ QJ aJ h? hRV 5CJ OJ QJ aJ (j h? hRV 5CJ OJ QJ UaJ #h? hRV 0J 5CJ OJ QJ aJ # . 0 1 3 4 6 7 9 : k $a$gdRV d gdRV $ a$gdRV hRV hRV 5CJ( OJ QJ ht 2 1h:p? / =!"#$% @ D d K: h V Q h t: B A ? P i c t u r e 1 " b d :9lLi } @ D j n8 :9lLi }PNG IHDR sRGB gAMA a pHYs od IDATx^ Uyuz<^urDFQ$CP