Volunteer Statement of Interest Application Form

Volunteer Statement of Interest Application Form
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Previous Volunteer Experience, Special Skills or Contributions
What are you interested in volunteering to do? (Select all that apply)

Activities CommitteeBorough CouncilPlanning CommissionBorough Authority Board (Water & Sewer Authority)Parks & Recreation BoardZoning Hearing BoardRevitalization Task ForceHistorical CommitteeCommunity Day Volunteer/Special EventsLandscapingCarpentry & RestorationOther
Other Interests:
Availability

Weekend MorningsWeekend AfternoonsWeekday MorningsWeekday Afternoons
Emergency Contact

First Name Last Name
Emergency Phone

Area Code Phone Number
Agreement and Statement of Understanding

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that I am volunteering my services, do so at my own risk, agree to hold harmless the Borough of Schwenksville and the elected and the Borough's elected and appointed officials and do not expect compensation for my services.
Signature

Clear
Should be Empty: