Fields marked with a * are required. Your Contact Information Your Name* Your Email* Your Phone* Your Address* Your City* Your State* Your Zip/Postal Code* Volunteer Information Availability* (Check all that apply) Weekday MorningsWeekday AfternoonsWeekend MorningsWeekend Afternoons Check the boxes for the volunteer opportunities that interest you* AdministrationEventsMarketing/Public RelationsGraphicsWebsite/SEONewsletter productionField workFundraisingVolunteer coordination Other: Special Skills or Qualifications* Summarize special skills, certifications and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports (for example: set up fundraisers for baseball team to get new uniforms) Summarize your previous volunteer experience* Emergency Contact Who should we notify in case of emergency? Emergency Contact Name* Emergency Contact Email Emergency Contact Phone* Emergency Contact Address* Emergency Contact City* Emergency Contact State* Emergency Contact Zip/Postal Code* Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Name (printed)* Date* Our Policy It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with Friends of Winnebago County Dog Parks, Inc. Δ