Stoked On Life Volunteer Application

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Applying for Land and/or sea volunteer *

Land

Sea

Both

Name *

Home address *

Cell Phone *

Email address *

Date of Birth *

YYYY

Valid driver's license *

Yes

Emergency Contact *

Why are you interested in volunteering for Stoked On Life surf therapy clinics? *

Previous volunteer experience *

Have you been a lifeguard, swim instructor in the past? *

Yes

Do you feel you are strong swimmer? *

Yes

Are you CPR certified?

Yes

Clear selection

Do you have experience working with mental health or substance use disorder clients?

Yes

Clear selection

What other skills do you have that you feel we should know which would be helpful in this position?

Have you ever been convicted of a crime? *

Yes

Are there criminal charges against you currently? *

Yes

Please explain when, where and the nature of the offense below: *

Print Signature *

Submit

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