Volunteer Application

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Today's Date: 10-19-2018

Personal Information:

First Name:

Last Name:

Email Address:

Address:

City:

State:

Zip:

Phone:

Referred By:

Birth Date:

Availability:

Tu:

Th:

Sa:

Su:

Additional Details:

Can you legally Drive? No: Yes:
Education (highest level completed):
Current Occupation/Employer:
Previous Volunteer Experience:
Do you speak a language other than English (please list)?
Please list the skill(s) you can and are willing to contribute to Sweet Water Organics—for example, skills with horticulture/agriculture, aquaculture, construction, biology, graphic design, food safety and production, manufacturing etc.:
Do you have or have you had a felony or misdemeanor charge against you? If so, please identify the offense and year:

References:

Please identify two references that you have worked or volunteered in the past, who have known you for at least two years and know you well, but who are not related to you.

Name:

Phone:

Relation to you:

Years known:

Name:

Phone:

Relation to you:

Years known:

Emergency Contact:

Please identify one person Sweet Water Organics can contact in case of a medical or other emergency.

Name:

Phone:

Relation to you:

Address:

City:

State:

Zip:

Authorization:

To complete this application, please carefully read and indicate your agreement with the following statements.

Yes:	"I have read this application and completed it as fully and accurately as I can."
Yes:	"I understand that by submitting this application to Sweet Water Organics, I am not automatically entitled to a volunteer position or any other position with the business."
Yes:	"I understand that by submitting this application to Sweet Water Organics, I am authorizing the business to conduct a background check, including an investigation of my criminal history, and contact the references listed above."

Spam Check:

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