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Application

CLICK HERE to learn about Polkadot Club before completing Application.

Polkadot Club Application

First name

Last name

Street Address

City

Region/State/Province

Postal / Zip code

Phone

Email

Email Confirmation

Nationality of Passport

Please list relevant work experience

Please list name, phone number and address of emergency contact *

Why do you want to come to Polkadot? Describe what you would like to do during your volunteer experience.

Thanks for submitting!

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CONTACT US

Hospital Rd PO Box 442-30400

Kabarnet, Kenya 30400

KENYA LOCATION

Phone: +254 715 630 135

1035 Papermill Court NW

Washington, DC 20007

USA LOCATION

Registered Charity: #81-1638843

polkadotlibraryinc@gmail.com

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© 2023 Polkadot Library

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