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Volunteer





Please read this notice before completing application.

Thank you for your interest in volunteering for the Wilder Foundation. Please fill out this form as completely as possible. None of the questions are intended to imply any limitations or discrimination. By completing this application, there is no assurance of being accepted as a volunteer or that volunteer positions are available.

* First Name:

* Middle Initial:

* Last Name:

* Date of Application:

* Street address:

* City, State

* ZIP

County

* Home Phone:

Cell Phone:

* Email address:

We like to keep our volunteers informed of important news and events. Please select the types of information you would like to receive:

Wilder Newsletters

Invitations to special Wilder events and tours

Please check the type of volunteer you are:

Youth
Adult
Student
Group

Group Name (if part of a group)

Organization (if part of a group)

How did you learn about our volunteer program?

Class/Teacher
Newspaper
Website
Wilder Tour
Word of Mouth
Other

Work Experience - Current Employer

Status

Employed
Retired
Other

Current Employer:

How long?:

Current Position:

Telephone:

Work Experience - Previous Employer

Previous Employer:

How long?:

Previous Position:

Telephone:

Are you a former Wilder employee?

Yes
No

Are you a student?

Yes
No

If yes, where?

Does your employer recognize/make contributions for your hours of volunteer service?

Yes
No

Please list previous/current volunteer experience or training as well as any special skills, hobbies, languages, or special interests:

Areas of Interest

Please check the areas you are interested in volunteering in:

Please tell us why you are interested in volunteering:

Availability

What date are you able to start your volunteer experience?

Total hours available per week

Please indicate the time(s) each day you are available to volunteer:

Monday

Tuesday

Wednesday

Thursday

Friday

Emergency Contact Information

Name

Relationship

Phone

Name (second)

Relationship

Phone

References

Please list the name, address, and phone number of two references (personal or employment related). If using a relative, please also list a person who is not a relative.

Have you ever been convicted of a crime?

Yes
No

If yes, please state the type and date of conviction:

PLEASE READ CAREFULLY AND EXAMINE YOUR APPLICATION BEFORE SUBMITTING.

I affirm that the information I have provided in this application form is true and correct to the best of my knowledge. I understand that misrepresentation, omission or falsification of facts in connection with this information may be sufficient cause for cancellation of consideration for volunteer service or termination whenever discovered.

Yes
No

I understand that as a condition of participation in this program, I may be required to provide the following: a Criminal Background Check, a Mantoux test, reference checks, a Department of Motor Vehicle check and a certificate of auto insurance. Failure to cooperate or unsatisfactory results may result in withdrawl of an offer to participate in this volunteer program.

Yes
No

Affirmative Action Information

Please note the following information is used for internal reporting purposes only. Submission of this information is voluntary. Responses are kept in a confidential file.

Date of birth(mm/dd/year)

Are you Hispanic or Latino

Yes
No

If not Hispanic or Latino, please check one of the categories below:

Alaskan Native or American Indian

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White/Caucasian

Two or more races

Gender

Male
Female
Transgender (M-F)
Transgender (F-M)

Gender: Self-Identified*

* Due to federal reporting requirements you should also select either the male or female category listed above.

Marital Status:

Married
Single
Domestic Partner

Contact Us

Donna Osterbauer
Volunteer Coordinator
E-mail: dmo@wilder.org
Phone:
651-280-2460

It dawns on you pretty quickly that you might want to think twice before challenging Rebecca Shelton to a game of air hockey...
 
 
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