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?
*
Saturday, June 20th
Saturday, June 27th
Saturday, July 11th
Saturday, July 18th
Saturday, July 25th
Saturday, August 1st
Saturday, August 15th
Saturday, August 22nd
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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