Special Event Volunteer Application
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
-
Area Code
Phone Number
Secondary Phone Number (Mobile)
-
Area Code
Phone Number
Email
*
example@example.com
Have you ever volunteered with SLARA before?
*
Yes
No
If you have volunteered with SLARA previously, when and what did you volunteer for?
Please choose a shirt size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Have you ever been convicted or plead guilty to a criminal misdemeanor, felony, sexual offense or crime involving controlled substances?
*
Yes
No
If yes, list the offenses along with Date(s) of conviction/plea and the State/City/Name of Court
As a volunteer, you agree to the following: To follow the SLARA Code of Conduct, To treat each participant and/or SLARA Staff with respect and dignity, To cooperate with the SLARA Staff to enforce SLARA policies and procedures. I will report any injuries/incidents immediately to SLARA staff.
*
I AGREE
I agree to hearby authorize the SLARA and give my consent to a criminal history check by the state and/or local police, and I understand that criminal history record information will be provided to SLARA and it's administrators for the purpose of evaluating my qualifications for any volunteer positions.
*
I AGREE
Today's Date
*
-
Month
-
Day
Year
Date
Additional Information Needed for Background Check
What is your ethnicity?
*
American Indian or Alaskan Native
Asian or Pacific Islander
African American
Caucasian
Unknown/Other
What is your gender
*
Male
Female
Other
Submit
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