Parks Volunteer Application Form

Parks Volunteer Application Form

Entry Id

Contact Information

Name:*

First Name

Last Name

Age (if under 18 years-old)

Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone:

Cell:

Email address:*

We like to keep volunteers informed via email, however we will not send you any email you prefer not to receive.

Use the checkboxes to select the kinds of email you would like to receive.

Recruitment appeal Reminder of your service Electronic newsletter of park programming

Emergency Contact Name:*

First Name

Last Name

Relationship:*

Emergency Contact Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Emergency Contact Phone:*

Emergency Contact Cell:*

Medical

Do you have any physical limitations that we should be aware of?

Do you have any allergies we should be aware of?

As a volunteer, I will provide two references (can be professional or personal)

Reference 1 Name:*

First Name

Last Name

Reference 1 Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Reference 1 Phone:*

Reference 2 Name:*

First Name

Last Name

Reference 2 Address:*

Address Line 1

Address Line 2

City

State

ZIP Code

Reference 2 Phone:*

Additional Information

Please answer these questions.

Why are you interested in volunteering? (check all that apply)

Personal fulfillment Educational experience Professional experience Community service requirement

Other (Please explain)

Please list any experiences you have with volunteering.

Please note:

• Burlington County Parks requires a standard waiver for all volunteers. This form will need to be completed prior to your service. You will receive a waiver form from Parks Staff once you are approved and assigned to suitable tasks.

• Burlington County Parks requires background checks for all volunteers working with minors.

• Burlington County Parks will provide all approved volunteers with the County’s rules and regulations prior to the start of service.

I understand and agree that submitting this application form does not automatically register me as a Burlington County Parks Volunteer, and that there may be qualifications and volunteer policies I must meet prior to beginning my service.

By submitting this form, I attest that the information I have provided is true and accurate. *

I agree

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