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, May 16th
Saturday, May 23rd
Saturday, May 30th
Saturday, June 6th
Saturday, June 13th
Saturday, June 20th
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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