Ichimura Miami-Japan Garden Volunteer Form 2017
If you want to volunteer at one of our events please fill out this form in its entirety.
First Name / Last Name
Your answer
Date of Birth
Your answer
Your answer
Zip Code
Your answer
Contact Phone Number
Cell Phone preferred
Your answer
Email Address
One you check most often
Your answer
Physical Limitations/Allergies
If you listed yes above, please list what your limitations or allergies are here:
Your answer
Education Level
Please select your highest level completed.
Name of Most Recent High School or College you Attended
Your answer
Work Occupation
Your answer
Most Recent Employer
Your answer
Have you volunteered before?
Please type below the places you have volunteered before.
Do you already have a Ichimura volunteer t-shirt?
If you already have one, PLEASE answer "YES" and wear the one you already have when you volunteer.
T-shirt Size
Unisex Adult Sizes Only
Skills (List your skills and indicate proficiency level)
Write one of the following next to each one of your skills: Skilled, Can Teach, or Amateur.
Your answer
Languages You Know
Only Speak
Only Read
Only Write
Don't Know
Any other languages you know that are not listed above?
Write the language(s) and one of the following next to them: Fluent or Only Speak / Read / Write
Your answer
Volunteer Availability
Do you want to receive community service hours?
If you want community service hours, to what organization or school is it for?
Your answer
In an emergency, notify:
First and Last Name of your emergency contact.
Your answer
Emergency Contact relationship to you.
Emergency Contact Phone Number
Your answer
Volunteers hereby agree to serve any client who is assigned regardless of race, sex, creed or national origin.
You must agree with the above if you want to volunteer with us.
Please type your name below as your signature to this volunteer form.
By typing your name below you agree that all of the questions were answered honestly and accurately to the best of your ability.
Your answer
If Volunteer is a minor (under 18) please type the Parent or Guardian's name who is responsible for this volunteer.
Your answer
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