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Communication Care Center: 866-214-3800
  1. Your First Name:*
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  2. Your Last Name:*
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  3. Your Phone:*
  4. Your Email:*
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  5. What is your current position with Accurate?*
  6. What Region office do you work through?*
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  7. Why are you interested in becoming an Accurate Home Care Ambassador?*
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  8. What are your short term goals (1-5 years)?*
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  9. What are your long term goals (5-10 years)?*
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  10. Describe an accomplishment (professional or personal) that you are especially proud of:*
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  11. Describe your top 3 favorite things about working at Accurate Home Care:*
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  12. Why is volunteering valuable to you?*
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  13. *
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