Pathfinders Volunteer Application
Completing this form is an acknowledgment that information on this document can/will be used for the purpose of data collection* (Grants, Gov. Data Reports, Program Emails & Updates, etc.)
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Disclaimer
"Inaccordance with Federal law and U.S. Department of Agriculture policy. this institution is prohibited from discriminating on the basis of race. color, national origin, sex. age. or disability. To file a complaint of discrimination write USDA. Director, Office of Civil Rights, 1400 Independence Avenue, S W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (I'm USDA is an equal opportunity provider and employer." 2
First Name *
Middle Initial
 *
Last Name
 *
Today's Date *
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Ethnicity
(African American, Latino/Hispanic, Native American, Pacific, Caucasian, etc.)
 *
Gender 
(Male, Female, Non-Binary, Gender-Fluid, etc.)
 *
Do you have any physical limitations? *
If yes, please explain.... *
Primary Phone Number
 *

Related Experienced

Describe any other experiences related
to volunteering below
Please list any health restrictions or special needs (allergies, vision, hearing. etc)
If the participant has no needs, answer (None)
 *

Medical Emergency Information

  • Staff will contact a emergency contacts listed as needed. Please be sure that all contact information is accurate and up to date. 

  • If immediate hospital attention is needed, staff will call 911.

I hereby give permission to Pathfinders of Muskegon secure emergency medical and/or emergency attention (such as 911) while volunteering with this organization. 

Signature
 *

Field Trip, Photo, and Event Release:

I hereby give my permission to Pathfinders of Muskegon for the named participant above, to participate in field trips with permission, videos, photos, and promotional material used for grants, data collection, and program promotional purposes. 

Read and Sign

  • I certify this information is true.
  • False information leads to dismissal.
  • I agree to a full background for volunteering.
  • Volunteering can terminated at anytime.
Date: *
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Signature:
 *
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