Volunteer Application
Full Name *
Phone Number *
Email Address *
Are you 18 or older? *
Birth Date *
MM/DD
Mailing Address *
City *
State *
Zip Code *
If Employed, Current Position
Work Phone
Emergency Contact Name *
Emergency Contact Number *
What time commitment would you like to make? *
Volunteer Position Interests *
Please select all that apply
Required
Have you ever volunteered before? If so where, and in what capacity? *
How did you hear about Citizens' Environmental Coalition? *
Availability *
Please indicate times you are available to volunteer
Why would you like to volunteer with us? *
Are you seeking academic credit or program/court ordered hours? *
Are you interested in becoming a board/committee member? *
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