Sequim Wheelers
VOLUNTEER APPLICATION FORM
Applicant's Name (* indicates a REQUIRED field)
*
First Name
Last Name
E-mail
*
example@example.com
Textable Mobile Phone
*
Format: (000) 000-0000.
T-Shirt Size:
Please Select
Women's S
Women's M
Women's L
Women's XL
Women's Other
Men's S
Men's M
Men's L
Men's XL
Men's Other
Availability: (Check all that apply. We give rides M-F and some weekends):
*
Rows
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Mornings (9-noon)
Afternoons (1-4pm)
Your preferred Roles: (One answer on each row)
*
Rows
Yes
No
Pilot (pedal an adaptive tricycle with a passenger):
Safety (ride your own bike to guide the pilots):
Admin (help with one or more admin tasks):
Skills/Experience that you might be willing to share with us:
IT / Computer
Bicycle Maintenance
Marketing / Promotions
Grant Writing / Fundraising
Legal / Liability / Insurance
Financial / Accounting
Photography / Videography
Teaching / Training
Other
Emergency Contact Information:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship:
*
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