Adaptive Sports Association Volunteer Intake Form
2018 Summer
Are you a new or returning volunteer to ASA? *
First name *
Your answer
Last name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone Number *
XXX-XXX-XXXX
Your answer
Is it okay to text you?
Home phone number
XXX-XXX-XXXX
Your answer
E-mail Address *
Your answer
We would like to establish e-mail communciation with as many of our volunteers as possible. Is e-mail a viable means of communication for you?
Date of Birth *
MM
/
DD
/
YYYY
Emergency Contact *
Name, phone no. & relationship
Your answer
My superpower would be:
Your answer
What days are you most likely to volunteer?
What types of programs are you interested in volunteering for?
Please indicate which (if any) certifications you currently hold.
We would like to have copies of these certification cards. Please stop by our in town office (125 E 32nd St) to make copies.
Please describe any previous volunteer experience.
Your answer
Please describe any previous outdoor experience.
Your answer
Please describe any experience working with people with disabilities and/or any teaching experience.
Your answer
How did you hear about ASA?
Your answer
Is there anything else that you would like us to know?
Your answer
Please check any additional skills you may be willing to contribute to the organization.
Directory
We would like to include all current volunteers in a volunteer directory that will be published on an online resources page for current volunteers. The page requires that you have the link to acess it. A name, phone number, and e-mail address will be included for all volunteers who give consent. *
Required
All volunteers must read and sign an assumption of risk and release of liability form.
A copy of our current waiver can be found at the link below. Please print, sign and return the form to ASA before or on your first day of volunteer training.

http://asadurango.com/wp/wp-content/uploads/2014/03/2017-2018-Disabled-Sports-USA-Adaptive-Sports-Association-Liability-Waiver-Media-Release.pdf

Mailing address: PO Box 1884, Durango, CO 81302
Fax number: 970-259-2175
Physical address: 125 E 32nd St, Durango, CO 81301

Background Check
All volunteers are required to complete a background check annually. We will e-mail you when it's time to renew your background check. If you're a new volunteer, please contact our office at program@asadurango.com or 970-259-0374 for instructions.
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