NEDS Volunteer Instructor Application
We are accepting new volunteer applications for Summer of 2018 and Winter Season 2018 - 2019.
Name *
Date of Birth *
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Address *
Phone number *
Email *
Emergency Contact Name and Phone Number *
Occupation? *
Present Employer? *
Number of years Employed at current position? *
Employers Phone number *
Have you volunteered with NEDS before? *
If yes, please tell us about your experience. *
Why are you interested in volunteering with NEDS *
Please tell us about any experience you have working with people with disabilities. *
Do you have any experience with American sign language? If yes, please explain.
Do you have experience in any of the following activities? *
Required
Please Categorize yourself as beginner, intermediate or advanced in the activities you identified experience in above. *
Do you have any experience with adaptive techniques and/or equipment in the above listed sports? If yes, please explain.
Do you have any medical or other relevant certifications in the sports that we offer (CPR, AED, Lifeguard, PSIA, AASI, ACA, water safety, etc)?
What season are you interested in volunteering for? *
Required
What location are you interested in volunteering for? *
Required
Tell us more about your availability to volunteer (weekends, weekdays, etc.). *
How did you hear about NEDS? *
May we put your name and email on a list available to all New England Disabled Sports volunteers? *
Required
Reference 1 (name, title, relationship, contact information): *
Reference 2 (name, title, relationship, contact information): *
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