Community Garden Volunteer Application

Your Contact Information

First Name *

Last Name *

Email *

Date of Birth

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Email

Gender Pronouns The maximum length for the field Gender Pronouns is 500 characters.

Are you willing to complete state and/or national criminal background checks, required by our licensing, and to disclose any convictions of a crime, any pending criminal charges, and/or any findings by a governmental agency of abuse or neglect, as part of the application process?

Please be aware that the following convictions, pending charges, or findings by a governmental agency will bar you from volunteering with us in this capacity: www.dcf.wisconsin.gov/files/cwlicensing/pdf/cwbarredcrimes.pdf (clicking on this link will open it in the same tab or window).

Background Check Consent * The field Background Check Consent is required.

Scholastics

Highest Level of Education Completed?

School/College Name The maximum length for the field School/College Name is 500 characters.

College Major/Degree The maximum length for the field College Major/Degree is 500 characters.

What languages are you fluent in? The maximum length for the field What languages are you fluent in? is 500 characters.

We serve a diverse population and are a diverse staff and volunteer team. Are you comfortable working in an affirming, supportive, and respectful manner with our clients, staff, and other volunteers in regard to their sexual orientation, gender identity or expression, sex, national origin or citizenship status, ancestry, race, color, religion, pregnancy, marital or parental status, disability, and/or socioeconomic status?

Yes or No * The field Yes or No is required.

Questions

How did you learn about Walker’s Point? * The field How did you learn about Walker’s Point? is required.

What interests you about this position? * The field What interests you about this position? is required.

Any past volunteer and/or work experience? * The field Any past volunteer and/or work experience? is required.

Please describe any special needs/accommodations? The maximum length for the field Please describe any special needs/accommodations? is 5000 characters.

References

Please list the contact information of three professional or academic references (e.g. past or current: supervisors of volunteer or paid positions, teachers, advisors, coaches, or other people who have played a mentoring role in your life, apart from family members) whom you authorize to release any information pertaining to your suitability for volunteering.

Reference #1 Name * The field Reference #1 Name is required.

Reference #2 Name * The field Reference #2 Name is required.

Reference #3 Name * The field Reference #3 Name is required.

This position is seasonal and runs from April through October. Are you able to commit 3-6 hours a week to the duties of this position?

Yes or No * The field Yes or No is required.

Availability

Please list your availability? * The field Please list your availability? is required.

Hours Requirement

INTERNS ONLY: Do you need to complete a certain number of hours by a specific date for your internship?

Total Number of Hours The maximum length for the field Total Number of Hours is 500 characters.

Completion Deadline The field Completion Deadline must be a date.

Publicity Release

On occasion, audiovisual or other documentation of materials may be taken of activities sponsored by Walker’s Point Youth & Family Center. By typing my name below, I give Walker’s Point Youth & Family Center permission to use my name, likeness, image, voice, quotes, and/or appearance that may be embodied in any pictures, writings, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Walker’s Point Youth & Family Center.

Full Name * The field Full Name is required.

Electronic Signature

By typing my name below, I certify that all information provided as a part of this application is true and correct without consequential omissions. I agree that Walker’s Point Youth & Family Center shall not be liable in any respect if my position is terminated because of false statements, answers, or omissions made by me in the information provided for this application.

Full Name * The field Full Name is required.

Document

Background Information Disclosure (BID).docx