Volunteer Application
Email address *
Last Name *
Your answer
First Name *
Your answer
Address *
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City *
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Zip Code *
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Cell Phone *
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Other Phone
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Availability
Choose times you're generally available to volunteer
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Months Available
Areas of Interest
Comments
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Volunteer Requirements
• Must go through Live Well. Go Fish. safety training annually.
• Sign Confidentiality Policy.
• Sign Volunteer Liability & Photo Release.
• Review Volunteer Protection Act of 1997 (included in safety training.)
• Background checks are required
Additional Captain Requirements
• Must be over 26 years of age.
• Must have 3 years of experience driving a boat.
• Must have no drug or alcohol-related driving or criminal convictions in the past 5 years.
• Must go through Live Well. Go Fish. Captain training.
• Must meet boat operator insurance requirements.
• Must comply with Nebraska State boating regulations.
Student Volunteer:
If accepted, I agree to adhere to the policies and procedures of Live Well. Go Fish. and to respect the confidentiality of information pertaining guests, clients and fellow volunteers. If a patient, staff member, volunteer, and/or visitor is abusive, makes inappropriate gestures, advances or conversation, that is in a manner which makes me feel uncomfortable, I will immediately inform my supervisor or Live Well. Go Fish. staff member.
Student Signature & Date (18 & under)
Your answer
Parent/Guardian:
The above named student has my consent as parent/guardian to serve as a Student Volunteer with the Live Well. Go Fish. organization. I have read the above agreement as signed by my student and understand their obligation to the program if they are accepted. I also grant permission for my child to receive emergency medical treatment if injured while volunteering
Parent/Guardian Signature & Date
Your answer
Please read the following carefully before signing this application:
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Live Well. Go Fish. that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Live Well. Go Fish. organization. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Live Well. Go Fish. or my termination as a volunteer.
Adult Volunteer Signature & Date
Your answer
A copy of your responses will be emailed to the address you provided.
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