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Millcreek Volunteer Application Name: Date: Street Address: City: Zip: Phone: E-mail: Status (circle one): Student Working Professional Retiree Other: Profession: Years in Profession: If a teacher, which subject(s): Specialty knowledge or hobby: Computer/Tablet experience: None Moderate Proficient Social Media experience: None Moderate Proficient Languages spoken: Languages written: Languages you can translate to English: Add any other pertinent information: OPTIONAL - Ethnic Group: OPTIONAL – Gender/gender identity: How many hours per month could you be available as a volunteer? Signature: Please select your area(s) of interest: Promise Program Health Sub-Committee Safety Sub-Committee Education Sub-Committee Economic Wellbeing Sub-Comm Arts Council Community Council Envision Committee Planning Commission Recycling Committee Other: Other: Thank you for your interest in being a volunteer for Millcreek. Completing this application does not guarantee that you will be placed on a committee or board. You will be contacted regarding any committee or board opportunities. If you agree to serve as a volunteer you will be required to sign a Volunteer Contract, a Disclosure of Private Business Interest form, and will be asked to review and comply with Ethics, Sexual Harassment, and Discrimination Prevention policies, and may be subject to a background check. 3330 South 1300 East Millcreek, UT 84106 [PHONE REDACTED] Millcreek.us SIGN