SECRETS Volunteer Instructor Contact Information
Your Steward Name: _____________________
Home Phone: ___________________
Work Phone: ____________________
Cell Phone: _____________________
Mailing Address: ____________________________________
The best way to contact me is ________________________________________.
Schools/Classrooms I am interested in volunteering for: __________________ ________________________________________________________________________________________________________________________________________
Are there any medical issues or concerns that we should be made aware of for the scope of your volunteer duties?
Emergency Contact Information
Name: __________________________ Relationship: _____________________
Phone: __________________________ Alt Phone:______________________
SECRETS Volunteer Agreement
Unacceptable actions: Listed below are possible actions that the SECRETS program will NOT tolerate. If any of these actions should occur during volunteer time, than the volunteer would be immediately dismissed from the program. If the action were breaking the law, than the volunteer would immediately be reported to the proper authorities.
Printed Name: _______________________________
(Optional) Photo Release: I give the Columbia Gorge Ecology Institute my expressed permission to use photographs and/or video of me in their publications.
Signature: ___________________________________ Date: __________