Earthdance Volunteer Form

First Name

Last Name

Email

Mailing Address

City

State

Zip Code

Phone Number

Birth Date

MonthDayYear

Age

T-Shirt Size

Do you have a college degree?

If so, in what field?

Do you have any certifications or licenses?

If so, in what field?

Do you have any previous volunteer experience?

If so, explain:

Emergency Contact Number:

Emergency Contact Person:

What department would you like to work in?

What skills do you have to fulfill your job duties in this department?

Do you have any medical issues that will prevent you from doing any jobs?

If yes, please explain. (Please note, this will not eliminate your chances of being a volunteer. It only helps us to better accomadate you.)

Is there anything else you'd like to tell us about yourself?