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:
Group Name (if part of a group)
Organization (if part of a group)
How did you learn about our volunteer program?
Work Experience - Current Employer
Status
Current Employer:
How long?:
Current Position:
Telephone:
Work Experience - Previous Employer
Previous Employer:
Previous Position:
Are you a former Wilder employee?
Are you a student?
If yes, where?
Does your employer recognize/make contributions for your hours of volunteer service?
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)
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?
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.
I understand that as a condition of participation in this program, that 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.
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
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
Gender: Self-Identified*
* Due to federal reporting requirements you should also select either the male or female category listed above.
Marital Status:
Donna OsterbauerVolunteer CoordinatorE-mail: dmo@wilder.orgPhone: 651-280-2460