Student Volunteer Form

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SCRAP-DC promotes creative reuse and environmentally sustainable behavior by providing educational
programs and affordable materials to the community. Thanks for volunteering with us! Please fill out this form and we'll get back to you soon.

First & Last Name *

Birth Date *

School *

Grade *

E-mail address *

Phone - best *

Phone - alternate

Address *

City *

State *

Zip Code *

Preferred Contact Method *

E-mail

Phone

I can be available...

for one-time events

same time each week

Other:

Clear selection

I prefer to help...

in SCRAP's retail store (mostly organizing, possibly more)

at community events (description varies by event)

lead a workshop

Other:

Clear selection

Volunteer Medical Information

This information is confidential and will be used only in the event you require assistance. It will not change your eligibility for working with us. In the case of injury, SCRAP has limited liability insurance that covers volunteers.

Emergency Contact Name & Relationship *

Contact's Phone - best *

Contact's Phone - alternate

Do you require any special accommodations? *

Yes/No -- if yes, please describe

Do you have any allergies? *

Yes/No -- if yes, please list

Do you have emergency medical conditions of which we or emergency personnel should be aware? *

Yes/No -- if yes, please list

Submit

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