Full Text
VOLUNTEER APPLICATION Please print in ink or type: Name: Social Security Number: Date of Birth: background check) Address: Zip: County: Occupation: Home Phone: Work Phone: E:MAIL Address 1. From the list below, please check the volunteer position(s) you are interested in: (contact the Department for details on the following volunteer position(s). Land Management and Education: _Site Interpreter _Campground Host _Visitor Center Host _Safety Education Instructor. _Trail Host _Facilities Rehabilitation (list any specialized skills Special Events Special Event Opportunities: Beach GAMES Blowout Comlara-Fest Pioneer Days Comlara Park Ice Cream Social Parent/Kid Fishing Derby Comlara Mountain Bike Race Nature Photography Derby Fall Colors Family Day Deer Run, Run - 8K Foot Race Wildlife _Deer Population Monitors _Bluebird Trail Monitors _Waterfowl Nesting Structure Volunteers _Volunteer Disabled Hunter Assistants/Hunting Partners Forest /Vegetation Resources: _ Reforestation Monitors _Tree Planting/Maintenance Volunteer _Flower Bed Volunteer _Prairie Maintenance Volunteer Fisheries: _Fisheries Creel Survey Volunteer _Fisheries Stocking Volunteer _Fisheries Habitat Projects _Safety & Security: McLean County Sheriff's Park Patrol Auxiliary(an additional application will be mailed to you) ---PAGE BREAK--- 2. Approximately how many hours per month would you be available to volunteer? days of week or month(s) 3. Dates available this calendar year: to 4. List the specific County Park(s) or area of McLean County you would be available to volunteer your services: 5. Would you be interested in working on a special group project/program? Yes: No: Explain: 6. How did you first learn about our volunteer program? Have you been convicted of a felony or misdemeanor, other than a traffic offense within the last five years? Yes____ If yes, please explain: I hereby attest that the above information is true. I authorize the Department to perform a criminal background check on me. I also understand that the McLean County Department of Parks and Recreation has the right to cancel my volunteer service at any time. Signed: Date: Please return this application to: McLean County Department of Parks and Recreation Attn. Volunteer Coordinator 13001 Recreation Area Dr. Hudson, IL 61748 THANK YOU FOR YOUR INTEREST IN OUR VOLUNTEER PROGRAM! FOR DEPARTMENT USE ONLY: Signature: Date: Approved Denied Additional Comments: The McLean County Department of Parks and Resources does not discriminate on the basis of race, color, sex, national origin, age, or handicap in admission to or treatment or employment in programs or activities in compliance with the Illinois Human Rights Act, the Illinois Constitution, Title VI of the 1964 Civil Rights Act, Section 504 of the Rehabilitation Act of 1973 as amended, and the U.S. Constitution.