Form Dcr199-096 - Volunteer Application
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1
2VOLUNTEER APPLICATION
Volunteer
Location
Last Name ______________________________ First _________________________ MI __________
Male ___
Female ___
Preferred Nickname ______________________
Mailing Address __________________________________________ Apt. # ____________________
City ____________________________________
State _______
Zip ________________
Home Phone (_______) __________________
Cell/Business Phone (_______) ___________________
Email Address _______________________________________
Birth Date (Optional) _______________
Shirt Size
___ Petite
___ Small
___ Medium
___ Large
___XLarge
___ XXLarge
___XXXLarge
VOLUNTEER INTERESTS (Check all that apply.)
___Visitor Services (visitor center, host, greeter)
___Administration/Office
___Maintenance (buildings, grounds, gardening)
___Interpretation - Environmental
___
___Resource Management (trails, cleanups, water quality)
Interpretation - Historic/Cultural
___Skilled Labor (explain skill) _____________________
___Special Events
___Other (explain) _______________________________
VOLUNTEER AVAILABILITY (Check all that apply.)
___
___
___
___
Summer
Fall
Winter
Spring
___
___
___
___
___
___
___
Sat
Sun
Mon
Tue
Wed
Thur
Fri
___
___
___
___
Morning
Afternoon
Evening
Special events/Projects
EMPLOYMENT INFORMATION
___
___
___
Employed
Retired
Student
Employer/School Name ________________________________________________________________
VOLUNTEER/PAID EXPERIENCE
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
MEDICAL INFORMATION Describe any medical conditions that might affect your ability to perform volunteer
duties:
____________________________________________________________________________________
Person to notify in case of emergency? Name ______________________ Relationship _____________
Phone (_______) __________________ Address ___________________________________________
PLEASE CONTINUE ON BACK SIDE
(DCR199-096) (08/06)
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Parent category: Business