Happy Birthday America Volunteer Registration

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

To be eligible to volunteer, you must be at least 18 years old by July 1st of the application year.

MonthDayYear

Interested in:

What special skills or qualifications do you have that could be valuable for this event? Please provide details.

Could you please provide a brief summary of your past experiences as a volunteer?

Preferred Availability: Please indicate the hours during which you are available for volunteer assignments. (Check all that apply)

Person to Notify In Case of Emergency

First NameLast Name

Emergency Contact Email

example@example.com

Emergency Contact Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Other Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to Volunteer

As part of the volunteer application process for Happy Birthday America, we are committed to maintaining a safe and secure environment for all participants. Therefore, we require a background check to be conducted. Your responses will be kept confidential and will only be used to assess your eligibility as a volunteer. A positive response does not automatically disqualify you from volunteering, but withholding or providing false information may result in the rejection of your application or termination of volunteer status if discovered later. Thank you for your understanding and cooperation in ensuring the safety and well-being of our community. Please answer the following questions truthfully:

Terms and Conditions

By submitting this application, I affirm that the information provided is true and complete. I have read the terms and conditions linked above and I understand that any false statements, omissions, or misrepresentations may result in immediate dismissal if I am accepted as a volunteer.

Date

MonthDayYear