The Rehab Center 270 Sterkel Blvd. Mansfield, OH 44907 Phone 419-756-1133 * Fax 419-756-6149 www.therehabcenter.org Volunteer Application Form Volunteer Information Name Salutation:   Last:   First:   Address Street:   Appt. #:   City:   State:   Zip:   Telephone Daytime:   Evening:   Email Address:   Skills/Knowledge/Experience Information Please list any specific skills, knowledge and/or experience you have that you believe would benefit The Rehab Center's Rehab Renewal Campaign.