Rich Roots 585 Volunteer Form Application Form
We would love to learn more about you and understand what skills, experiences, and goals you have to make Rich Root 585's mission and values possible.
Application Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I am interested in:
Please Select
Volunteer in City Community Garden work
In doing Outreach and Education Work
Interested in Offering a service for Rich Roots 585
Personal Information
Name
First Name
Last Name
Prefer Name:
First Name
Last Name
Gender
I identify as Male
I identify as Female
Nonbinary/ agender
Pronouns
he/him/his
she/her/hers
they/them
ze/ zir
ve/ vir
Other
Age
If you're below 18 years old, you need a parental consent form.
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attach your recent photo here so we can greet you properly when we see you:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Emergency Contact Details
Emergency Contact Person
First Name
Last Name
Emergency Contact Person Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to the Applicant
Volunteer Questions
Tells us about your interested in Rich Roots 585.
Tell us what skills or service would you like to contribute to Rich Roots 585.
Tell us about your experience with community garden and/ or farming.
Do we have your permission to take photographs of you for advertising and marketing purposes?
Yes
No
Do you agree to be responsible for medical needs related to immunization, vaccinations, and COVID-19?
Yes
No
Availability: Morning availability would be 10 am to 12 pm for community garden work; afternoon would be considered 12 pm to 3 pm; while night availability would be considered 5 pm to 7 pm during the weekdays.
Rows
Morning
Afternoon
Night
Total Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total number hours per week
Do you have any medical condition that can affect your volunteer activities? If yes, please indicate them below:
Do you have any allergies? If yes, please identify them below:
Are you currently taking any medications? If yes, please list them below:
Were you convicted of any offense? If yes, please indicate them below:
Please let us know how did you here about us.
Applicant’s Signature
Date Signed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: