Edgerton Community Outreach Volunteer Application
Edgerton Community Outreach / 106 S. Main Street / Edgerton, WI 53534 / 608-884-9593

Contact: Tanya Bennett / Email: outreachbennett@gmail.com / 608-921-9578

Hello! We are so glad that you are here! Fill out the volunteer application to apply for volunteer opportunities at Edgerton Community Outreach. Once the form is submitted, you will receive contact from Tanya Bennett, Thrift Store Manager. She will set up a time for you to come in for a building tour and meeting for the volunteer opportunity. To volunteer without a parent/guardian, you must be 14 years old. For any questions, please use the contact information above.

Sincerely, ECO Staff & Volunteers
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Todays Date *
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Full Name *
First, Middle Initial, Last
Email (write N/A if you don't have an email) *
Street Address *
City, State & ZIP code *
Phone number *
Date of Birth *
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Availability/ During which days are you available for volunteer assignments? (check all the apply) *
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Availability/ During which hours are you available for volunteer assignments? (check all the apply) *
Required
Interests / Check the areas you are interested in volunteering. Those that utilize the food pantry are not able to volunteer in the food pantry due to guidelines. *
Required
Special Skills or Qualifications / Summarize special skills and qualifications you have acquired from employment, volunteer work, or through other activities, including hobbies or sports: *
Previous Volunteer Experience / Summarize your previous volunteer experience. If you don't have any, write N/A. *
Emergency Contact / Provide name, relationship, and phone number *
Provide any medical information you would like ECO to be aware of:
Photo Release: I hereby give my consent for Edgerton Community Outreach, Inc. (ECO) to use my photograph and likeness to be used in its publications, including its website. I release them from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below. *
Names and Ages of Minor Children / provide names and ages of minor children
Background Checks Release: I give my permission to Edgerton Community Outreach (ECO) to do a Wisconsin Circuit Court Access and National Sex Offenders Public Website check. ECO is required to conduct a background check on all staff and volunteer due to working with vulnerable populations. This information will be kept confidential. *
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