Hikeabilities Volunteer Form
You will be contacted when we receive your submitted volunteer interest form.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Are you over 18?
*
Yes
No
Which dates are you available?
*
Hike & Roll Event - Sunday, October 4th (Tyler State Park)
Saturday, September 5th (Schuykill)
Saturday, September 19th (Schuykill)
Saturday, September 26th (Schuykill)
Saturday, October 3rd (Schuykill)
Saturday, October 10th (Schuykill)
Saturday, October 24th (Schuykill)
Saturday, November 7th (Schuykill)
Saturday, November 14th (Schuykill)
Saturday, November 21st (Schuykill)
Tuesday, September 15th (Churchville)
Tuesday, September 22nd (Churchville)
Tuesday, September 29th (Churchville)
Tuesday, October 6th (Churchville)
Tuesday, October 13th (Churchville)
Tuesday, October 27th (Churchville)
Tuesday, November 3rd (Churchville)
Tuesday, November 10th (Churchville)
Tuesday, November 17th (Churchville)
Why are you interested in volunteering for Hikeabilities?
Are you able to provide a copy of your PA Police Criminal Record Check (Act 34)?
*
Yes
No
Are you able to provide a copy of your PA Child Abuse History Clearance (Act 151)?
*
Yes
No
Which describes you best?
Please Select
Occupational therapy student
OTR
COTA
In another related field
Other
Submit Form
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