Before completing this application please read the Volunteer PoliciesNon-Disclosure Agreement and Code of Conduct

Name:*
Address:*
E-mail:*

Your volunteer confirmation will be sent to you via email. Please enter a VALID email address. 

Phone:*
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Emergency Contact:*
Emergency Contact Phone:*
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Tell us about yourself and your experience:*
Several opportunities require the ability to lift 25-50 lbs., bend, reach and may require extended periods of time on your feet. Accomodations are available.:*
Have you ever been convicted of a crime other than a minor traffic violation?:*
If yes, charge:
Date Convicted:
Location:
Ordered/Mandatory Community Service by (Agency/Court)::
Number of Hours Required:
Volunteer Interest:*
Please tell us your daily availability
Hours Available Per Week:
Monday Start:
 : 
Monday End:
 : 
Tuesday Start:
 : 
Tuesday End:
 : 
Wednesday Start:
 : 
Wednesday End:
 : 
Thursday Start:
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Thursday End:
 : 
Friday Start:
 : 
Friday End:
 : 
Saturday:
Sunday:
Please place your initials in each box certifying you have read and understand the policies
Volunteer Policies:*
Non-Disclosure Agreement:*
Waiver/Publicity Release:*
Code of Conduct:*
Signature (Please enter your First and Last Name):*
 In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call toll free (866) 632-9992 FREE (Voice). Individuals who are hearing impaired or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339 FREE; or (800) 845-6136 FREE (Spanish). USDA is an equal opportunity provider and employer.

If you would like a copy of your application for your records, please click the printer before you submit your application. You will receive an email confirmation as well.