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The Watershed Institute Volunteer Application
VOLUNTEER APPLICATION

Note that the minimum age for volunteering is 12; adult volunteers may be accompanied by younger family members for some activities.

CONTACT INFORMATION
*First name
*Last Name
*Street Address
*City
*State
*Zip Code
*Primary phone
Secondary Phone
*Email address
Occupation
Current or most recent employer
Preferred pronouns
(for example, she/her/hers)
*Are you age 18 or older?
If you are a student, what school do you attend?
Please note that some volunteer opportunities will require that volunteers under the age of 16 be accompanied by a parent or guardian; that parent or guardian should also fill out a volunteer application.
*Are you fulfilling a community service obligation for school or other purpose?
What are your interests, special skills and/or hobbies?

Please read about our volunteer opportunities and then proceed to the next question to select your interests.

What kind of volunteer work are you interested in? Please check all that apply.
How did you hear about volunteer opportunities at The Watershed Institute?
Volunteer Agreement/Release
In consideration of being allowed to take part in this volunteer activity, I agree to release and hold harmless The Watershed Institute, and their officers, employees and agents, from all liability from any harm or injury that I may incur as a result of volunteering, excluding proven gross negligence by The Watershed Institute.

I authorize the Watershed’s staff to assist me by administering basic first aid and/or obtain appropriate emergency medical treatment for me in the event of an accident, injury or illness.

I understand that I may be subject to falls, slips, cuts and bruises, and may be at risk for activities relating to volunteering, including the risk of contracting Covid-19.

I understand that photographs, videotapes, or audiotapes may be taken of my children (if relevant) and me during the course of the activity(s) for use by The Watershed Institute for publicity purposes. I will be given the option to opt-out on site during the activity(s) by the staff/volunteer taking photo, video, audio at that time.

The terms of this Agreement shall be binding on my heirs, executor, administrator and all members of my family.
Do you have any medical conditions that we might need to be aware of? If so, please specify:
*Emergency Contact name:
*Emergency Contact address:
*Emergency Contact primary phone number:
Emergency Contact secondary phone number:
*Emergency Contact email: address:
*By entering my name, I swear or affirm that the information provided herein is truthful to the best of my knowledge.
*Today's Date:
If applicant is under the age of 18, please enter parent/guardian name.
If applicant is under the age of 18 and the parent/guardian is not the same as the emergency contact, please enter the parent/guardian address, phone number and email address.
*For security purposes, please enter the letters you see in the below box.
   

If you have any questions please contact our Volunteer Coordinator, Eve Niedergang, at eniedergang@thewatershed.org or 609-737-3735, ext. 51.

 

  

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