Volunteer Application
First Name *
Last Name *
Address *
Adress 2
City *
State *
Zip Code *
Email Address *
Phone Number *
What is your area of interest? *
What is your volunteer schedule? *
What is your preferred start date? *
What is the best method of contact? *
Would you be interested in being included in an email database that will update you on i-Trek and its upcoming events? *
Which position are you applying for? *
State, in your own words, the i-Trek mission. *
How did you hear about i-Trek and its volunteer program? *
Why are you interested in volunteering *
Do you have any special skills which you believe would be of value to the i-Trek initiatives *
If you are looking for one-time/short term volunteer opportunities, which events/activities are you interested in? *
How do you hope to benefit from this experience? *
Please list any previous or current volunteer experience: *
Organization, Position/Major, Responsibility, Dates of Service
Please provide 3 references (references should be professional or academic contacts) *
Name of Contact: Phone number, Email
Have you ever been convicted of a crime? (This does not include minor traffic offenses and/or convictions which have been sealed, expunged or statutorily eradicated.) *
If yes, please explain:
I understand that “i-Trek” may run a criminal background check to verify the responses given in the application process for the sole purpose of protecting participants, volunteers and others. By checking the box below, you acknowledge your awareness of this background check and agree. *
Please check the box to acknowledge the following statement: I, and my heirs, in consideration of my participation in the i-Trek program(s), hereby release i-Trek, its officers, employees and agents, and any other people officially connected with this organization and/or event, from any and all liability for damage to or loss of personal property, sickness or injury from whatever source, legal entanglements, imprisonment, death, or loss of money, which might occur while participating with this organization/in this event. I am aware of the risks of participation. I understand that participation in this program is strictly voluntary and I freely chose to participate. I understand that i-Trek does not provide medical coverage for me. I verify that I will be responsible for any medical costs and any resulting transportation costs, I incur should the need arise as a result of my participation. I understand that I am acting as an independent contractor, and further, I understand that I am not entitled to workers compensation in the event of injury or death. *
Please check the box to acknowledge the following statement I certify that all information submitted by me on this application is true and complete. I understand that if any false information, omissions or misrepresentations are discovered my application may be rejected and active volunteer status may be terminated. *
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