COTS Volunteer Application
COTS Volunteer Application.
First Name *
Your answer
Last name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Preferred method of contact? *
Address
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Employer *
Your answer
Current Position *
Your answer
Please check one: *
Required
Educational Background *
Your answer
Hobbies, interests: *
Your answer
Skills, Abilities *
Your answer
Previous volunteer experience *
Your answer
Please check which of the following categories apply to you, if any: *
Required
City Market Member Number?
Your answer
Please check the dates and times you are available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning (9am to Noon)
Afternoon (Noon to 5pm)
Evening (5pm to 9pm)
Please check the volunteer positions that you are interested in: *
Required
Please write a short statement describing your reasons for offering time and services to COTS, as well as your volunteer goals: *
Your answer
Please check the groups that you are most skilled or interested in working with: *
Required
Are there any groups with whom you would not feel comfortable working? Please specify: *
Your answer
Please tell us how you heard about COTS: *
Required
Name of emergency contact *
Your answer
Phone number of emergency contact *
Your answer
Have you ever been in prison, on probation or parole, or fined for any violation of any law or ordinance, other than parking violations? *
Have you ever been the subject of an investigation by the Department for Children and Families (DCF) for suspected child abuse and/or neglect? *
References
Please give two professional, or if none, personal references (other than family members and close friends) who can speak to your character and abilities:
Reference 1: Name *
Your answer
Relationship to you: *
Your answer
Reference 1 email: *
Your answer
Reference 1 number: *
Your answer
Reference 2: Name *
Your answer
Relationship to you: *
Your answer
Reference 2 email: *
Your answer
Reference 2 phone number: *
Your answer
Applicant Signature
Your electronic signature affirms the accuracy of the information provided, that you assume the risk of any personal injury or property damage you sustain in connection with your volunteering for COTS, and that you release and agree not to sue COTS for any such damages.
Electronic Signature *
Your answer
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