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. Because many of our

programs work with vulnerable youth or adults, you may be asked to give your permission for Wilder to

conduct a background check. All background checks must be completed before you would be accepted as a

volunteer. By completing this application, there is no assurance of being accepted as a volunteer or that

volunteer positions are available.

How did you hear about volunteer opportunities at Wilder?

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

PLEASE READ CAREFULLY AND EXAMINE YOUR APPLICATION BEFORE SUBMITTING.

I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge.

I understand that any falsification, omission, misrepresentation, or concealment of information on this

application may be sufficient grounds for disqualification from further consideration for the volunteer position

or termination of the volunteer position and that the Foundation shall not be held liable in any respect if my

volunteer position is so denied or terminated.

I authorize the Foundation to verify the information contained

in this application and to investigate my personal or employment history. I also authorize any former school,

employer, person, firm, corporation, credit agency, or government agency to give the Foundation information

they may have about me. In consideration of the Foundation’s review of this application, I release the

Foundation and all providers of information from any liability as a result of furnishing and receiving this

information.

I further agree that, if selected for the volunteer position, I will conform my conduct to Foundation rules and

understand that unless otherwise specifically agreed to in writing, the volunteer relationship can be

terminated at any time with or without cause, and with or without notice, at my option or the option of the

Foundation. I understand that this application and any manuals or handbooks that may be distributed to me

during the course of my volunteer experience shall not be construed as a contract.